Organization
JERSEYVILLE CHIROPRACTIC AND REHAB LLC
Active
Other names
Williams Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDEN RACE DC (COO)
(636) 345-8400
Entity
Organization
Contact information
Practice address
519 S STATE ST, JERSEYVILLE, IL 62052-2241
(618) 639-6611
Mailing address
223 SALT LICK RD # 280, SAINT PETERS, MO 63376-5974
(636) 345-8400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/07/2020
Last updated
01/15/2021
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