Organization
FIT 4 LIFE SPORTS AND REHABILITATION, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE SUE HAYES D.C. (PRESIDENT/OWNER)
(636) 542-4044
Entity
Organization
Contact information
Practice address
210 TRIAD CTR W, O FALLON, MO 63366-7543
(636) 542-4044
(636) 489-1154
Mailing address
210 TRIAD CTR W, O FALLON, MO 63366-7543
(636) 542-4044
(636) 489-1154
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002030437
MO
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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