| NPI | 1508454554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA GRENMAN Owner 501-617-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NR0400X | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-09-17 |