NPI | 1790106201 |
---|---|
Other Name | THE FARM |
Entity Type | Organization |
Authorized Contact | BEAU RYAN BEARD Owner 205-419-1595 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AL 2415) |
Additional Taxonomies | 111NR0400X (Licence: AL 2415) |
Enumeration Date | 2013-12-31 |
Last Update Date | 2023-05-31 |