| NPI | 1861609638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS CHADD WATTERSON Partner 304-292-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 771) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 770) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-07-09 |