| NPI | 1942700364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE M SMITH Member/Chiropractor 860-667-8334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001553) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |