| NPI | 1528451325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE BOEHLE Sole Member 636-359-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014016038) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-04-08 |