| NPI | 1912778416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MITCHELL WIEST Chiropractic Physician 754-799-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-01-12 |