| NPI | 1962656777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ALAN RUSSELL Dr. Of Chiropractic 314-604-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2008002546) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |