| NPI | 1760801310 |
|---|---|
| Doing Business As | FOUNDATIONS CHIROPRACTIC LLC |
| Doing Business As | MOUNT ANGEL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN PETRACCI Owner/Chiropractor 615-991-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-01-19 |