| NPI | 1164643680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAIVIER T TIPLER Doctor Of Chiropractic 314-447-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2006030819) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-06-07 |