| NPI | 1649971607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS JOHNSON CEO 619-518-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225600000X Dance Therapist | |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| 163W00000X Registered Nurse | |
| 171100000X Acupuncturist | |
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| 175F00000X Naturopath | |
| 208100000X Physical Medicine & Rehabilitation | |
| 221700000X Art Therapist | |
| 101Y00000X Counselor | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-23 |