Organization
DESUTTER CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHEL BUMPOUS (CHIRPRACTOR'S ASST)
(662) 895-2501
Entity
Organization
Contact information
Practice address
9659 GOODMAN RD, OLIVE BRANCH, MS 38654-1725
(662) 895-2501
(662) 895-3464
Mailing address
9659 GOODMAN RD, OLIVE BRANCH, MS 38654-1725
(662) 895-2501
(662) 895-3464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0059
MS
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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