| NPI | 1962115790 |
|---|---|
| Doing Business As | MATTINGLY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | DUSTAN J. MATTINGLY Owner 314-635-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |