NPI | 1851751838 |
---|---|
Entity Type | Organization |
Authorized Contact | GARRETT ILG REICHELT Chiropractor 631-682-1544 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
111NR0400X Chiropractor, Rehabilitation | |
111NX0100X Chiropractor, Occupational Health | |
111NX0800X Chiropractor, Orthopedic | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2016-03-03 |