| NPI | 1851421366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CHESTLEY LEDBETTER Owner 903-845-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-08-09 |