| NPI | 1962525162 |
|---|---|
| Doing Business As | ELLISVILLE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LAURA ANNE BELMAR Partner 636-256-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: MO 006517) |
| Additional Taxonomies | 111NR0400X (Licence: MO 2001025911) |
| 225100000X Physical Therapist (Licence: MO 2004030104) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |