Organization
GRASMAN-MONTGOMERY ENTERPRISES, INC
Active
Parent organization
GRASMAN-MONTGOMERY ENTERPRISES, INC
Other names
Authentic Life Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRASMAN-MONTGOMERY ENTERPRISES, INC
Authorized official
DR. LISA KAY GRASMAN DC (REGISTERED AGENT)
(907) 414-6800
Entity
Organization
Contact information
Practice address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 414-6800
Mailing address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 414-6800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
590
AK
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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