| NPI | 1699399485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BOLEK Owner/Partner 701-520-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |