| NPI | 1760702260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENICA AMANDA THOMASON Chiropractor 405-577-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3931) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2013-03-22 |