| NPI | 1720255714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHRISTOPHER MCCULLOUGH President 402-488-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1397) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2016-03-31 |