| NPI | 1619947694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KURTZ Billing Specialist 216-573-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 2326) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 2325) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-10-09 |