| NPI | 1609084128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MARTIN Chiropractor 928-214-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3836) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2016-01-19 |