NPI | 1487922399 |
---|---|
Entity Type | Organization |
Authorized Contact | ABBY L. REVERTS Owner / Chiropractor 605-556-2002 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1206) |
Enumeration Date | 2011-12-06 |
Last Update Date | 2014-07-22 |