Organization · Type 2 NPI

Holistic Chiropractic & Rehabilitation Center, LLC

Clinical Electrophysiology Physical Therapist · O Fallon, IL

NPI number 1114057312 Active

Practice location

4965 Stone Falls Ctr, Suite 7
O Fallon, IL 62269-7802

Fax (618) 624-9386

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Chiropractor 111N00000XNone listed
Chiropractor 111N00000XNone listed
Chiropractor 111N00000XNone listed
Nutrition Chiropractor 111NN1001XNone listed
Nutrition Chiropractor 111NN1001XNone listed
Nutrition Chiropractor 111NN1001XNone listed
Nutrition Chiropractor 111NN1001XNone listed
Rehabilitation Chiropractor 111NR0400XNone listed
Rehabilitation Chiropractor 111NR0400XNone listed
Rehabilitation Chiropractor 111NR0400XNone listed
Rehabilitation Chiropractor 111NR0400XNone listed
Clinical Electrophysiology Physical Therapist Primary 2251E1300XNone listed

Clinical Electrophysiology Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve p…

4 other providers at this address

About NPI 1114057312

Holistic Chiropractic & Rehabilitation Center, LLC's National Provider Identifier is 1114057312, issued on Mar 6, 2007. The primary taxonomy on file is Clinical Electrophysiology Physical Therapist (2251E1300X), and the practice location is in O Fallon, IL. The record was last updated on Sep 11, 2025.