| NPI | 1982846622 |
|---|---|
| Doing Business As | BACK IN BALANCE FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE WILLOW President 605-271-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1142) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |