NPI | 1366697195 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JOHN MAFFIT Owner 314-725-3358 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001032183) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2001021787) |
Enumeration Date | 2008-11-20 |
Last Update Date | 2018-03-17 |