| NPI | 1285275743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WITHINGTON Owner 314-941-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NX0100X Chiropractor, Occupational Health | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |