# CHIROPRACTIC AND SPINAL REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578731089
- **Authorized official:** DR. AARON A HEITMAN D.C. (OWNER)
- **Authorized official phone:** (573) 364-2798

## Contact information

- **Practice address:** 806A E STATE ROUTE 72, ROLLA, MO 65401-3945
- **Practice address phone:** (573) 364-2798
- **Practice address fax:** (573) 368-4720
- **Mailing address:** 806A E STATE ROUTE 72, ROLLA, MO 65401-3945
- **Mailing address phone:** (573) 364-2798
- **Mailing address fax:** (573) 368-4720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 006455 | MO | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008
