NPI | 1700801594 |
---|---|
Doing Business As | HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB |
Entity Type | Organization |
Authorized Contact | ANDREW JACK NELSON Owner 928-778-7996 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8008) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-08-22 |