NPI | 1598820821 |
---|---|
Doing Business As | LIFESTYLES CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | TODD E WICKMANN Owner 239-334-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH9155) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2013-05-14 |