NPI | 1346331972 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN JAMES WHEAT Owner Manager 573-636-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2005037600) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2019-02-06 |