Organization · Type 2 NPI

Fridley Chiropractic, LLC

Medical Specialty Clinic/Center · Wentzville, MO

NPI number 1124335286 Active

Practice location

1126 W Pearce Blvd, Ste 114
Wentzville, MO 63385-1053

Fax (636) 639-9235

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X2000161195 (MO)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3 other providers at this address

About NPI 1124335286

Fridley Chiropractic, LLC's National Provider Identifier is 1124335286, issued on Sep 9, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Wentzville, MO. The record was last updated on Sep 9, 2010.