| NPI | 1932590627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WADDINGTON Owner 402-397-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2021-06-18 |