Brentwood Spine Clinic LLC

Organization Sports Physician Chiropractor · NPI 1669716031

Brentwood Spine Clinic LLC provides Sports Physician Chiropractor services in Brentwood, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in: MO
In the registry since: 2012

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

2202 S Brentwood Blvd
Brentwood, MO 63144-1804 Not confirmed with CMS for 13 years — call before visiting
Phone: (314) 600-6677

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary)	Taxonomy 111NS0005X · Licence 2010031861 (MO)

Record details

NPI number	1669716031
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Clinton Daniels — Chiropractic Physician · (314) 600-6677
NPI enumerated	November 24, 2012
Last updated in NPPES	January 24, 2013
Mailing address	2202 S Brentwood Blvd, Brentwood, MO 63144-1804