| NPI | 1902197478 |
|---|---|
| Doing Business As | MAXIMUM BALANCE KINESIOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BONNIE DAVIS Owner 636-542-2360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CO CHR-6676) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-05 |