| NPI | 1508343914 |
|---|---|
| Doing Business As | PROACTIVE CHIROPRACTIC & REHAB |
| Entity Type | Organization |
| Authorized Contact | PAUL GREGORY LYELL President 209-658-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2017018593) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |