| NPI | 1750112454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER AKERSON Owner/Provider 480-326-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |