| Resilient Clinic Llc | |
|
21450 Highway 32 Ste A, Sainte Genevieve, MO 63670-8814 | |
| (573) 535-1912 | |
| Not Available |
| Full Name | Resilient Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21450 Highway 32 Ste A, Sainte Genevieve, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851919203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Justin Roth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699397687 PECOS PAC ID: 0941624845 Enrollment ID: I20200724001848 |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Clinic Llc 21450 Highway 32 Ste A, Sainte Genevieve, MO 63670-8814 Ph: (573) 535-1912 | Resilient Clinic Llc 21450 Highway 32 Ste A, Sainte Genevieve, MO 63670-8814 Ph: (573) 535-1912 |
Kaitlyn Ayers, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 748 Center Dr, Sainte Genevieve, MO 63670 Phone: 573-880-2368 | |
Dr. Justin Nicholas Roth, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21450 Highway 32 Ste A, Sainte Genevieve, MO 63670 Phone: 573-535-1912 |