| NPI | 1568037216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER CAMPBELL Owner 907-250-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |