Organization
BARTLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA KATHLEEN WIBBENMEYER D.C. (OWNER)
(573) 308-1799
Entity
Organization
Contact information
Practice address
1060 S BISHOP AVE, B, ROLLA, MO 65401-4465
(573) 308-1799
Mailing address
1060 S BISHOP AVE, ROLLA, MO 65401-4465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011002178
MO
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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