| NPI | 1275771669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE REAVIS Medical Director 417-877-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO 2007008411) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2003027886) |
| 171100000X Acupuncturist (Licence: MO 2002030343) | |
| 171100000X Acupuncturist (Licence: MO 2002024850) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |