| NPI | 1649691858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT ALAN TIDWELL President 205-561-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AL 2100) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2015-08-20 |