Organization
HAWK RIDGE CHIROPRACTIC AND ACUPUNCTURE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KAY RODENBAUGH D.C. (SOLE MEMBER)
(636) 346-7861
Entity
Organization
Contact information
Practice address
266 LAMP AND LANTERN VLG, TOWN AND COUNTRY, MO 63017-8209
(636) 227-4949
Mailing address
39 A PRETORIA DRIVE, ELLISVILLE, MO 63021
(636) 346-7861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578650537
NPI
MO
Enumeration date
11/17/2008
Last updated
06/21/2018
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