Individual provider · Type 1 NPI

Viviana Isabel Mata, DC

Chiropractor · St. Louis, MO

NPI number 1043102403 Active

Practice location

880 N Mcknight Rd Apt 1N
St. Louis, MO 63132-4834

Call (201) 403-5951 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2025006841 (MO)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043102403

Viviana Isabel Mata, DC's National Provider Identifier is 1043102403, issued on Jul 18, 2025. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 18, 2025.