| NPI | 1902373822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY M BRADLEY Owner 402-881-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2021-03-26 |