| NPI | 1942698279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER OLSEN Doctor 256-651-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2277) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1847) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2022-07-21 |