Fully Known Chiropractic

NPI #1790308054 in Branson, Missouri

Provider Information

NPI Number
1790308054
Entity Type
Organization
Organization Name
Fully Known Chiropractic
Primary Specialty
Chiropractor
Enumeration Date
May 21, 2020
Last Updated
May 21, 2020

Practice Location

Address
714 STATE HIGHWAY 248 STE 503
ZIP Code
65616-3761
Phone
(417) 872-7728

Authorized Official

Name
DR. JACOB DEWAYNE LEWALLEN, DC
Title
OWNER
Phone
(417) 872-7728

Specialties & Taxonomy Codes

Specialty
Chiropractor

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