| NPI | 1477151363 |
|---|---|
| Other Name | BACK PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | NATE EDWARD KINNISON Dr. Nate Kinnison 573-768-1250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-12-17 |