| NPI | 1861536609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DENISE THOMPSON Owner Sec Tres 620-342-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 0104599) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-02-03 |