| NPI | 1730600255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHASE Chiropractor 270-761-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-06-26 |