| NPI | 1821421363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY KRISTEEN MECKLE Chiropractor 386-423-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10882) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-04-02 |