| NPI | 1861713661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRADDY ST. JOHN President 214-801-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11054) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT028852) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-03-20 |