Organization
BACK ON TRACK CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY LANE D.C. (OWNER)
(636) 742-3733
Entity
Organization
Contact information
Practice address
108 FRONT STREET, SUITE101, LABADIE, MO 63055-1301
(636) 742-3733
Mailing address
108 FRONT STREET, SUITE101, LABADIE, MO 63055-1301
(636) 742-3733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008010491
MO
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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