| NPI | 1104014521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE ANN JARDINE Owner/Manager 636-527-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2005014052) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MO 2005014052) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |