| NPI | 1497245005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CORDELL Owner 620-509-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist |
| 111NN1001X Chiropractor, Nutrition | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2022-10-27 |