| NPI | 1780861948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RETHA MARY DOUGHERTY Doctor Of Chiropractic 402-582-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NE 1483) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2013-11-14 |