| NPI | 1912178260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ADAM BROCKMAN Owner/Doctor 270-927-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5101) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-06-20 |