| NPI | 1881245702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA PAUL TONNIES Owner/Physician 636-686-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |