| NPI | 1669754537 |
|---|---|
| Doing Business As | MIND BODY SPIRIT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | THEODORE CHARLES KUCHLER President 904-220-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch7959) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |