| NPI | 1558587345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY S ROWSE VP 505-327-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-04-23 |