| NPI | 1992039747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET BRASFIELD Owner/Chiropractor 618-877-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007631) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038009646) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2013-10-15 |