| NPI | 1518363803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE CHRISTINE THAKE Owner 330-265-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014038935) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2016-02-08 |