NPI | 1487803029 |
---|---|
Doing Business As | BACK ESSENTIALS, INC. |
Entity Type | Organization |
Authorized Contact | BROOKE A TARVIN President 318-425-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: LA 1060) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2009-03-05 |