| NPI | 1679747919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE CHRISTOPHER FREELAND Owner 8017-763-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 55343551202) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |