| NPI | 1306203096 |
|---|---|
| Other Name | IMAC REGENERATION CENTER OF ST. LOUIS |
| Entity Type | Organization |
| Authorized Contact | THERESA LUECKE Human Resources 270-554-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NX0800X Chiropractor, Orthopedic | |
| 207L00000X Anesthesiology | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2020-08-19 |