| NPI | 1649856378 |
|---|---|
| Doing Business As | LEGACY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | TYLER BOHLKE Owner/Chiropractor 712-540-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-30 |