| NPI | 1952606659 |
|---|---|
| Former Name | CRYSTAL M WOODBURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011000648) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2011000648) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2011000648) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2014-09-12 |