NPI | 1881025997 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH SPRINGER Member Manager 731-571-1375 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 1895) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 1869) |
Enumeration Date | 2013-11-29 |
Last Update Date | 2013-11-29 |