| NPI | 1730942376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS MERCADO Owner 734-212-5828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2026-01-14 |