| NPI | 1619215191 |
|---|---|
| Former Name | KRYSTAL ANN RUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2013001163) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 2013001163) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MO 2013001163) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2017-05-23 |