NPI | 1780051060 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT ROOKSTOOL Owner 541-923-6024 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OR 5131) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2016-03-21 |