| NPI | 1306086319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA DENISE WIGGINS President 660-358-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006239) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-11-29 |