| NPI | 1700671948 |
|---|---|
| Doing Business As | KOPACETIC KHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KEONA FAVIS Chiropractor 318-800-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-06-12 |