| NPI | 1942541222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKEL RICHTER Owner 435-703-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 8536048-1202) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |