NPI | 1801176672 |
---|---|
Other Name | LARSON CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KRISTOFER D LARSON Organizer 907-376-2225 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AK 435) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 435) |
Enumeration Date | 2011-08-24 |
Last Update Date | 2020-12-21 |