Back-In-Line Wellness Center
Back-In-Line Wellness Center is an Exclusive Provider Organization in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
Practice location Address checks out
14 Ronnies PlzSaint Louis, MO 63126-3552
Phone: (314) 750-6109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 2007024823 (MO) |
|---|
Record details
| NPI number | 1902121171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Utrup — Owner · (314) 750-6109 |
| NPI enumerated | March 31, 2010 |
| Last updated in NPPES | March 31, 2010 |
| Mailing address | 14 Ronnies Plz, Saint Louis, MO 63126-3552 |
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