| NPI | 1962525451 |
|---|---|
| Former Name | KATIE LYNN SUPIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009729) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3216) |
| 111N00000X Chiropractor (Licence: FL CH9523) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-02-25 |