| NPI | 1649528316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANEY NICOLE LAWSON Chiropractor/Sole Proprietor 740-502-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 4041) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OH 4041) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: OH 4041) | |
| 111NR0200X Chiropractor, Radiology (Licence: OH 4041) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: OH 4041) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |