| NPI | 1952487563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT A SHORT Dc/Owner 304-733-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 760) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 545) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-11-06 |