NPI | 1689922288 |
---|---|
Entity Type | Organization |
Authorized Contact | LUKE J STAAB Doctor/Owner 308-728-9986 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1720) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NE 3678) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2018-08-29 |