Organization
TAYLOR PAUL CHIROPRACTIC LLC
Active
Other names
Performance Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR JAY PAUL D.C (CHIEF EXECUTIVE OFFICER)
(843) 384-3236
Entity
Organization
Contact information
Practice address
11872 GRAVOIS RD, SAPPINGTON, MO 63127-1800
(843) 384-3236
Mailing address
6512 SPRUCEFIELD DR, O FALLON, MO 63368-7846
(843) 384-3236
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/17/2016
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