| NPI | 1376782342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LEE MCCLAIN Owner 314-838-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO CE006098) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |