| NPI | 1740477330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITA VANTERPOOL President 202-744-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC CH30018) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MD S03383) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2015-11-09 |