Organization
RUPP CHIROPRACTIC LLC
Active
Other names
Chiropractic Physicians Group, Back to Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL ANN PHILLIPS D.C. (PHYSICIAN)
(314) 896-3550
Entity
Organization
Contact information
Practice address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 896-3550
(314) 255-2390
Mailing address
13720 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 896-3550
(314) 255-2390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013001163
MO
Other
Enumeration date
03/12/2013
Last updated
07/21/2022
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