| NPI | 1639568470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRICE NEFF Sole Member 480-988-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |