| NPI | 1629696430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN LEROY MOON Owner 785-313-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-09-21 |