| NPI | 1548470057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ARVILLE JUSTUS Chiropractor 423-581-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 1855) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-02-23 |