| NPI | 1497242192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GEORGE HACKLEMAN Owner 417-326-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-12-12 |