| NPI | 1740968197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NOSICH Owner/Provder 907-519-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 171100000X Acupuncturist | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-09-08 |