| NPI | 1609087675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L PORTER CFO 402-420-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1553) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 968) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-06-13 |