| NPI | 1477803112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH HICKEY Registered Agent/Manager Of LLC 314-277-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012030947) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |