| NPI | 1144622184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LIONEL BRADLEY Owner/Chiropractor 314-371-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001010035) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |