| NPI | 1982318572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTIN MINDY EBAUGH President/Chiropractor 541-321-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |