| NPI | 1568734325 |
|---|---|
| Other Name | TED RICHARD LIAUTAUD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011040193) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0105458) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-06-15 |