| NPI | 1376041665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNA WADE Owner/ Sole Physician 417-274-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2018000970) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |