| NPI | 1790939536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHARLES BAKER Co Owner 512-396-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1173060) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 5841) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |