| NPI | 1952931172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA WALLACE Chiropractor 517-759-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology |
| 225700000X Massage Therapist | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |