| NPI | 1326025867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MITCHELL CROCKETT President 417-831-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001006863) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2012-04-30 |