Organization
EXO CHIROPRACTIC, LLC
Active
Other names
ProActive Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNETTE RENEE MAYFIELD DC (OWNER)
(636) 464-8360
Entity
Organization
Contact information
Practice address
12370 OLIVE BLVD, CREVE COEUR, MO 63141-6443
(314) 485-1442
(314) 485-1446
Mailing address
101 RICHARDSON XING, ARNOLD, MO 63010-6006
(636) 464-8360
(636) 464-2180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
01/13/2019
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