| NPI | 1144708975 |
|---|---|
| Doing Business As | PROACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LYNETTE RENEE MAYFIELD Owner 314-210-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001008726) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-01-16 |