| NPI | 1992097539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALLEN MASSA President 989-793-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI TM006855) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |