| NPI | 1609464395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER MELSON Owner 256-765-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-05-26 |