| NPI | 1659526713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY RODENBAUGH Sole Member 636-346-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2018-06-21 |