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Organization
RUPP CHIROPRACTIC LLC
Active
Organization
RUPP CHIROPRACTIC LLC
Active
Other names
Chiropractic Physicians Group, Back to Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL ANN PHILLIPS D.C. (PHYSICIAN)
(314) 896-3550
Entity
Organization
Contact information
Practice address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 896-3550
(314) 255-2390
Mailing address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 896-3550
(314) 255-2390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013001163
MO
Other
Enumeration date
03/12/2013
Last updated
07/21/2022
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