| NPI | 1619233400 |
|---|---|
| Doing Business As | SPINAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM M LEIS-KEELING Owner/Chiropractor 518-869-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NY x012138-1) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x009338-1) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2013-06-18 |