| NPI | 1588825764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN L MOSIER President 402-483-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NE 111NS0005X) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2009-08-31 |