Organization
GUERNSEY CHIROPRACTIC AND SPORTS INJURY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FORMAN (OFFICE MANAGER)
(660) 425-3444
Entity
Organization
Contact information
Practice address
1704 MAIN ST, BETHANY, MO 64424-2064
(660) 425-3444
(660) 425-3044
Mailing address
1704 MAIN ST, BETHANY, MO 64424-2064
(660) 425-3444
(660) 425-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010013285
MO
Other
Enumeration date
12/03/2010
Last updated
08/13/2012
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