| NPI | 1245480615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LOUIS OLIVERIUS Doctor Of Chiropractic 816-525-9393 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2007038067) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |