| NPI | 1760650220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY R THORNTON Owner 616-583-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301008970) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301008969) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |