NPI | 1609070606 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN ST JOHN DECOURCY Owner President 913-383-3031 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0103967) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |