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Organization
HAWK RIDGE CHIROPRACTIC AND ACUPUNCTURE, L.L.C.
Active
Organization
HAWK RIDGE CHIROPRACTIC AND ACUPUNCTURE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KAY RODENBAUGH D.C. (SOLE MEMBER)
(636) 346-7861
Entity
Organization
Contact information
Practice address
266 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 227-4949
Mailing address
39 A PRETORIA DRIVE, ELLISVILLE, MO 63021
(636) 346-7861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578650537
NPI
MO
Enumeration date
11/17/2008
Last updated
06/21/2018
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