| NPI | 1043526270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE L WIBBENMEYER Owner/President 314-918-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CE005678) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |