| NPI | 1578964623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN A. NURSE Owner, Chiropractic Physician 857-305-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2023-09-19 |