| NPI | 1982061487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BOLLIG Owner/Chiropractor 757-642-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104-557380) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 11751) |
| 111N00000X Chiropractor (Licence: FL 11140) | |
| 111N00000X Chiropractor (Licence: VA 0104-557378) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2017-05-04 |