Individual
MATTHEW BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11705 GRAVOIS RD, SAINT LOUIS, MO 63127-1803
(314) 866-0123
Mailing address
11705 GRAVOIS RD, SAINT LOUIS, MO 63127-1803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023050459
MO
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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