| NPI | 1649663915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED MICHAEL TAYLOR Doctor/Owner 702-769-4768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: UT 57533761202) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |