Thrive For Life Chiropractic Llc

NPI 1295149482 - Chiropractor - 111N00000X

NPI Details
NPI 1295149482
Enumeration Date 06/16/2014
Last Updated 06/16/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MATT MATT
Position CHIROPRACTIC PHYSICIAN
Phone (314) 395-4934
Fax
Practice Location
729 OLD FRONTENAC SQ
FRONTENAC MO, 63131-2745, US
Phone (314) 395-4934
Fax
Business Location
729 OLD FRONTENAC SQ
FRONTENAC MO, 63131-2745, US
Phone (314) 395-4934
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 2011012320
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According to our database, Thrive For Life Chiropractic Llc NPI is 1295149482, taxonomy code is 111N00000X and license number is 2011012320, license state is located at Missouri. Thrive For Life Chiropractic Llc physically located at 729 Old Frontenac Sq, Frontenac MO, 63131-2745. NPI Number 1033115704 has the healthcare provider type.

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1295149482 NPI number is provided on an as is basis without warranty of any kind. 1295149482 is maintained by the National Plan & Provider Enumeration System. The contents of Thrive For Life Chiropractic Llc are for informational purposes only.