| NPI | 1730524950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA KATHLEEN WIBBENMEYER Owner 573-308-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011002178) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |