St. Louis Optimal Performance, LLC
NPI #1245574367 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1245574367
- Entity Type
- Organization
- Organization Name
- St. Louis Optimal Performance, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. LOUIS OPTIMAL PERFORMANCE
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Jul 2, 2013
Practice Location
- Address
- 219 CHESTERFIELD TOWNE CTR
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63005-1257
- Phone
- (636) 778-9997
Authorized Official
- Name
- DR. BRIAN ANDREW LAIDERMAN, D.C.
- Title
- CHIROPRACTIC PHYSICIAN/OWNER
- Phone
- (636) 778-9997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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