Organization
MID-AMERICA SPINE & REHAB LLC
Active
Organization
MID-AMERICA SPINE & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE EINERTSON D.C. (ADMINISTRATOR OWNER)
(314) 966-8989
Entity
Organization
Contact information
Practice address
1030 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 966-8989
(314) 966-0001
Mailing address
1030 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 966-8989
(314) 966-0001
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5905
MO
225100000X
Physical Therapist
01530
MO
Other
Enumeration date
12/21/2006
Last updated
12/07/2020
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