| NPI | 1972875987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON THOMAS HERR Owner 716-480-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NY 10065) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |