| NPI | 1578819645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DARLENE HAZELWOOD Chiropractor/ Owner 314-402-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006567) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |