Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2663 | AL |
NPI | 1003405168 |
---|---|
Provider Name | Mollie Rood |
First Address | Huntsville, AL 35802-1395 |
Second Address | Huntsville, AL 35802-1395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2021 |
Last Update Date | 05/05/2021 |