| NPI | 1942541883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA D HAZELWOOD Owner / Provider 314-402-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006567) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-06-04 |