| NPI | 1891828786 |
|---|---|
| Doing Business As | BACK AND NECK PAIN RELIEF CENTER OF WASILLA |
| Entity Type | Organization |
| Authorized Contact | TYAN PAYNE Chiropractor 907-376-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK CH0295) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK CH02971) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |