Organization
THAKE CHIROPRACTIC AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIANNE CHRISTINE THAKE D.C. (OWNER)
(330) 265-6113
Entity
Organization
Contact information
Practice address
25 PARK PL, SAINT PETERS, MO 63376-3146
(330) 265-6113
Mailing address
25 PARK PL, SAINT PETERS, MO 63376-3146
(330) 265-6113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014038935
MO
Other
Enumeration date
11/13/2014
Last updated
02/08/2016
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