| NPI | 1205242567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CATHERINE DAVIS Owner 620-200-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014016555) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |