| NPI | 1811467822 |
|---|---|
| Doing Business As | PROACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LYNETTE RENEE MAYFIELD Owner 636-464-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2019-01-13 |