Genesis Chiropractic, LLC

NPI #1144708975 in Festus, Missouri

Provider Information

NPI Number: 1144708975
Entity Type: Organization
Organization Name: Genesis Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 2, 2018
Last Updated: Jan 16, 2019

Practice Location

Address: 1520 PARKWAY W
City: Festus
State: Missouri
ZIP Code: 63028-2381
Phone: (636) 937-0100

Authorized Official

Name: DR. LYNETTE RENEE MAYFIELD, DC
Title: OWNER
Phone: (314) 210-2623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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