Organization
CHIROPRACTIC AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY WILLIAMS D.C. (OWNER)
(314) 372-6702
Entity
Organization
Contact information
Practice address
320 BROOKES DR, SUITE 237, HAZELWOOD, MO 63042-2736
(314) 372-6702
Mailing address
PO BOX 385, SAINT CHARLES, MO 63302-0385
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2010040254
MO
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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