| NPI | 1912384728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALLAN COOK President 586-393-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2019-05-31 |