NPI | 1962043711 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER LEE MAXEY Owner 704-300-4268 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-10-02 |