| NPI | 1497002224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BROOKS-TATE Owner 502-299-4256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002610A) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |