NPI | 1164579553 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY S PIKE Owner/Dc 573-348-4640 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 005651) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 005653) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2019-03-05 |