| NPI | 1801078142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED SURBAUGH Owner 304-292-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-12-08 |