| NPI | 1629841499 |
|---|---|
| Doing Business As | CLUB CHIRO OF LEESTOWN |
| Entity Type | Organization |
| Authorized Contact | JEREMY AMERINE Owner 563-506-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |