| NPI | 1710280490 |
|---|---|
| Former Legal Business Name | ROTH CHIROPRACTIC SC |
| Entity Type | Organization |
| Authorized Contact | JAMES ARTHUR TACYSHYN-ROTH Dr./Owner 612-916-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI WI2869) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2018-03-07 |