| NPI | 1922404151 |
|---|---|
| Doing Business As | OPTIMIZED LIVING INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | DEREK PAUL BRUNER Co Owner 225-339-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: TX 12675) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2019-11-20 |