| NPI | 1881827947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG KELLY Owner 860-749-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 01590) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CT 000329) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |