| NPI | 1780745158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BETH HALTINNER Doctor Of Chiropractic Medical Doct 802-722-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |