| NPI | 1881105229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LANGE Owner 413-582-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-01-04 |