| NPI | 1689059479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LEE KELLOGG Owner 517-499-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8490) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8489) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-10-15 |