NPI | 1861458689 |
---|---|
Former Legal Business Name | MATTHEW CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | TRACY H. ATHA Owner/Operator 479-649-9422 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1277) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2020-08-22 |