| NPI | 1891973020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L. STROTHEIDE President 618-876-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |