Organization
BACK TO HEALTH CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANI ANN CROCKER D.C.MCS-P (OWNER/DOCTOR)
(417) 532-2986
Entity
Organization
Contact information
Practice address
617 N JEFFERSON AVE, LEBANON, MO 65536-2745
(417) 532-2986
(417) 532-2271
Mailing address
617 N JEFFERSON AVE, LEBANON, MO 65536-2745
(417) 532-2986
(417) 532-2271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005229
MO
Other
Enumeration date
01/21/2014
Last updated
06/30/2014
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