| NPI | 1912141730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI A KIERNAN President/Owner 501-224-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-08-25 |