| NPI | 1851788368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS EDMOND BENNETT Owner 330-467-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 1215) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2024-02-27 |