| NPI | 1609207968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ALAN TIDWELL President 256-383-5772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AL 1932) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2022-07-21 |