| NPI | 1679766711 |
|---|---|
| Doing Business As | HUMAN PERFORMANCE: A WELLNESS & REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL E LISCUM Proprietor 337-439-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1563) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2012-02-13 |