| NPI | 1952442410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEE FITZGERALD Owner 502-491-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KY 4714) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |