Organization
DYNAMIC LIFE CHIROPRACTIC, LLC
Active
Other names
Lake St. Louis Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN E. GAINES-PORLIER D.C. (OWNER/DOCTOR)
(618) 213-6886
Entity
Organization
Contact information
Practice address
2161 W TERRA LN, O FALLON, MO 63366-2366
(636) 887-9003
(888) 528-5527
Mailing address
2161 W TERRA LN, O FALLON, MO 63366-2366
(636) 887-9003
(888) 528-5527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MO
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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