| NPI | 1174783617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VINCENT WALTERS Owner President 417-461-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006467) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 006467) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-08-07 |