NPI | 1750941035 |
---|---|
Doing Business As | CLEARWAY PAIN SOLUTIONS INSTITUTE |
Entity Type | Organization |
Authorized Contact | KACEY A MONTGOMERY Medical Director 850-791-6895 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-06-18 |
Last Update Date | 2023-01-31 |