| NPI | 1790070639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT RODNEY JACKSON President 636-614-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011014558) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2022-04-04 |