| NPI | 1669671509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD B WALTERS Owner 740-653-5390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 001396) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2015-01-05 |