| NPI | 1770647869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE EINERTSON Administrator Owner 314-966-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MO 5905) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01530) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-12-07 |