| NPI | 1659386134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J BALLARD Office Manager 816-404-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2002025954) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-10-03 |