| NPI | 1659757128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA COLLEEN VILLALOBOS Owner 931-919-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: TN 2634) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-07-21 |