| NPI | 1861843500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE MARTINY Manager 314-406-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 005954) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 005954) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |