| NPI | 1356711428 |
|---|---|
| Former Name | LACEY HATFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2015001800) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MO 2015001800) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-03-17 |