| NPI | 1992570550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON PENNER Chiropractor 986-837-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |