| NPI | 1871172999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY V TOOLE Owner 267-846-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-06-10 |