| NPI | 1710974779 |
|---|---|
| Doing Business As | WILLIS CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LEE R WILLIS Chiropractor 276-228-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001278) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |