| NPI | 1427392356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ANGELA SPATH Owner And Clinical Director 314-353-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MO 2008027067) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |