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Organization
RAINTREE CHIROPRACTIC CENTER
Active
Organization
RAINTREE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY A. MAXWELL-KROCKENBERGER D.C.,M.T.A.A.,L.M.T. (OWNER)
(636) 797-5100
Entity
Organization
Contact information
Practice address
4 HICKORY RIDGE RD, SUITE #800, HILLSBORO, MO 63050-5100
(636) 797-5100
(636) 797-2745
Mailing address
4 HICKORY RIDGE RD, SUITE #800, HILLSBORO, MO 63050-5100
(636) 797-5100
(636) 797-2745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005005613
MO
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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