| NPI | 1801243084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED SURBAUGH Owner/D.C. 304-292-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |