| NPI | 1689084972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAURENS MASUCCI Owner Manager 636-458-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014013287) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |