| NPI | 1588812580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAVIS Owner 907-790-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261Q00000X Clinic/Center (Licence: AK 105677) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-08-08 |