| NPI | 1720448079 |
|---|---|
| Doing Business As | AUTHENTIC LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LISA KAY GRASMAN Registered Agent 907-414-6800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 590) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |