| NPI | 1770818114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MICHAEL KLOSTERMANN President 314-843-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2009026112) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2010-08-11 |