| NPI | 1578240222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K. O'NEILL Owner 573-552-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |