| NPI | 1598358293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN PIERCE Owner 602-788-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |