Grounded Health Chiropractic LLC
Clinic/Center in Creve Coeur, MO. Organization (NPI-2).
NPI number1538722269
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1538722269
- Entity type
- Organization (NPI-2)
- Legal business name
- Grounded Health Chiropractic LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2019
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
522 N New Ballas Rd Ste 121Creve Coeur, MO 63141-6820
Phone 636-575-9982
Mailing address
522 N New Ballas Rd Ste 121Creve Coeur, MO 63141-6820
Phone 636-575-9982
Authorized official
Young Ho James Bok
Owner
6365759982
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