| NPI | 1609050160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STEEN Managing Member 940-390-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1166191) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |