| NPI | 1558798058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M RYDER Owner 225-766-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: LA 1594) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-04-07 |