| NPI | 1285923607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE CUMMINS Owner 314-731-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-08-04 |