| NPI | 1639700776 |
|---|---|
| Doing Business As | LONGEVITY HEALTH AND FITNESS |
| Entity Type | Organization |
| Authorized Contact | ROBERT C. GREGORY Owner/President 331-248-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-03-30 |