| NPI | 1891828935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS WILLIAM LIVESAY Owner Manager 701-426-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 787) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-11-02 |