| NPI | 1639442700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WILLIAM GAWITH Owner/ Provider 316-636-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-05430) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |