| NPI | 1518040443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA SAMS Owner 417-334-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006810) |
| 111N00000X Chiropractor (Licence: MO 2003012564) | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-05-21 |