| NPI | 1912016916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L RODDEN Owner 636-946-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: MO 26627) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-08-26 |