| NPI | 1407084775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNN TICHACEK Owner/President 636-925-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001000493) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |