| NPI | 1831303288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A. LEIST Manager 740-622-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-10-30 |