| NPI | 1528185873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J FREDRICKS Owner 816-741-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2005026467) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |