| NPI | 1457407413 |
|---|---|
| Former Legal Business Name | BIRD CHIROPRACTIC BC |
| Entity Type | Organization |
| Authorized Contact | BRIAN E BIRD Owner/Doctor 618-529-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-12-15 |