| NPI | 1962724146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE F STACKHOUSE Office Management 740-450-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3748) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 1607) |
| 111N00000X Chiropractor (Licence: OH 3148) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |