| NPI | 1659612901 |
|---|---|
| Doing Business As | BACK TO LIFE CHIROPRACTIC |
| Doing Business As | CHIROPRACTIC PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL ANN PHILLIPS Physician 314-896-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2013001163) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2022-07-21 |