| NPI | 1730232604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN R MOFFETT Owner 602-956-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 3744) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |