| NPI | 1699840660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A WALTEMATE Chiropractic Physician 318-688-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 749) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |