| NPI | 1730576562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYNN FROST Owner 502-552-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |