| NPI | 1962084905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN RACE Vice President 636-345-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |