| NPI | 1831378454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY RENEE JOHNSON President, Owner 701-893-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 766) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2011-01-20 |