| NPI | 1487144226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNETTE CORVALLIS Owner 573-915-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2018001378) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |