| NPI | 1891908539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DUSTIN BLUETER Owner 330-297-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: OH 3483) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2023-11-22 |