| NPI | 1437496106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL J MILLER Member 417-885-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 20010008732) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-06-06 |