| NPI | 1689085052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE RYAN Owner/CEO 785-371-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 16070) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: KS 2300013) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2018-03-17 |