| NPI | 1659869089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB JEREMIAH CRAIG Owner/ Doctor 907-561-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN0400X Chiropractor Neurology | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-11-16 |