| NPI | 1992159602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KAKOZ President 313-341-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009756) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |