| NPI | 1659560035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROTONDI Owner 502-459-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4467) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: KY 4467) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-26 |