Organization
LIVE WELL BE WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY BARNES D.C. (OWNER - CHIROPRACTOR)
(419) 357-2601
Entity
Organization
Contact information
Practice address
14784 MANCHESTER RD, BALLWIN, MO 63011-3708
(419) 357-2601
Mailing address
14784 MANCHESTER RD, BALLWIN, MO 63011-3708
(419) 357-2601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015028570
MO
Other
Enumeration date
05/23/2016
Last updated
12/08/2016
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