| NPI | 1689358145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEWAYNE SCOTT Director 408-858-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 175F00000X Naturopath | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-09-15 |