Organization
PRIMAL CHIROPRACTIC AND REHABILITATION PLLC
Active
Organization
PRIMAL CHIROPRACTIC AND REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON RUTER DC (CHIROPRACTOR)
(815) 238-1250
Entity
Organization
Contact information
Practice address
411 S BROAD ST, LANARK, IL 61046-1209
(815) 238-1250
Mailing address
411 S BROAD ST, LANARK, IL 61046-1209
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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