| NPI | 1770019333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI PICKETT Chiropractor/Owner 901-326-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60691551) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-07-21 |