| NPI | 1548565351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DALE HASENCLEVER Owner/President 479-621-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1705) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |