| NPI | 1093150930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HOFFMAN Chiropractor 636-970-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2013001703) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: MO 2013001703) |
| 111NR0400X Chiropractor Rehabilitation (Licence: MO 2013001703) | |
| 111NX0800X Chiropractor Orthopedic (Licence: MO 2013001703) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |