| NPI | 1942544010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY A ROBERTS Owner/President 314-838-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2001017247) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |