NPI | 1942420492 |
---|---|
Entity Type | Organization |
Authorized Contact | JAROD ADLINGTON Member Owner 304-529-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 749) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: WV 96101) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2015-01-30 |