| NPI | 1891407995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECIA MCKENZIE Owner 469-919-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-22 |