Balanced Spine And Health LLC
Chiropractor in Creve Coeur, MO. Organization (NPI-2).
NPI number1861834541
StatusActive
Last updated in NPPESJul 23, 2013
Details
- NPI
- 1861834541
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Spine And Health LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2013
- Last updated
- Jul 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2009021952 | MO | Yes |
Practice location
677 N New Ballas Rd Ste 220Creve Coeur, MO 63141-6732
Phone 314-995-9704 · Fax 314-995-9732
Mailing address
677 N New Ballas Rd Ste 220Creve Coeur, MO 63141-6732
Phone 314-995-9704 · Fax 314-995-9732
Authorized official
Sung Kwang Lee
Doctor Of Chiropractic
3149959804
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