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Individual

DELIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC, LAT, ATC

Contact information

Practice address
1099 MILWAUKEE ST STE 240, SAINT LOUIS, MO 63122-7360
(314) 822-1502
Mailing address
10 E 68TH TER, KANSAS CITY, MO 64113-2464
(816) 914-8157

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023046993
MO
111N00000X
Chiropractor
7117
MN
2255A2300X
Athletic Trainer
2020009473
MO
2255A2300X
Athletic Trainer
3692
MN

Other

Enumeration date
09/01/2018
Last updated
12/13/2023
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