| NPI | 1114628286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RYAN WEILANDICH Owner 636-330-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-15 |