| NPI | 1134460090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ADAMS Owner 636-346-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO 2012027709) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |