| NPI | 1598937773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN BUSHMAN Chiropractor 314-413-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MO 2003003215) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |