| NPI | 1952669616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK REILLY Chiropractor 614-488-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: OH 1809) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |