| NPI | 1689844524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHETT TRAVIS Owner 540-400-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104001882) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-11-06 |