| NPI | 1962952531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D GACKSTETTER Owner 954-364-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |