# UTTERBACK CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kirkwood Spine and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316174535
- **Authorized official:** DR. JACOB HEDGES UTTERBACK D.C. (PRESIDENT/OWNER)
- **Authorized official phone:** (314) 965-8084

## Contact information

- **Practice address:** 140 W ADAMS AVE, KIRKWOOD, MO 63122-4023
- **Practice address phone:** (314) 965-8084
- **Practice address fax:** (314) 965-8612
- **Mailing address:** 140 W ADAMS AVE, KIRKWOOD, MO 63122-4023
- **Mailing address phone:** (314) 965-8084
- **Mailing address fax:** (314) 965-8612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2007000279 | MO | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009