| NPI | 1134682677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESLY MI CLERGE Owner/Doctor 314-520-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |