| NPI | 1659148112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SPENCER LENOX Owner/CEO 903-400-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |