| NPI | 1689736142 |
|---|---|
| Doing Business As | BACK RESORT |
| Entity Type | Organization |
| Authorized Contact | DANIEL CRAIG DAVIDSON Sole Proprietor 540-389-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000527) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-06-18 |