| NPI | 1497093926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAVIS Manager 907-888-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 559) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 104600) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2016-06-09 |