| NPI | 1790997682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M PRIKKEL President 937-293-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: OH 2660) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |