| NPI | 1912181256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA C. KEELS Owner/Sole Proprietor 864-801-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3000) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2010-02-23 |