NPI | 1891049367 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG STASIO Owner And President 586-464-0053 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007308) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 2301007308) |
Enumeration Date | 2012-11-05 |
Last Update Date | 2013-03-25 |