| 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 |