| NPI | 1528242310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ANDREW KOENKE Doctor Of Chiropractic 480-830-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 7157) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |