Organization · Type 2 NPI

Genesis Chiropractic, LLC

Chiropractor · Festus, MO

NPI number 1144708975 Active

Practice location

1520 Parkway W
Festus, MO 63028-2381

Call (636) 937-0100 Map

Mailing address

101 Richardson Xing
Arnold, MO 63010-6006

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	2001008726 (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.

2 other providers at this address

Other chiropractor providers in Festus

See all in Festus →

NPI record

NPI: 1144708975
Entity type: Organization (Type 2)
Issued: Aug 2, 2018
Last updated: Jan 16, 2019
Status: Active

Other names

<unavail>
Proactive Chiropractic · doing business as
Proactive Chiropractic · doing business as

Authorized official

Dr. Lynette Renee Mayfield, DC
Owner
(314) 210-2623

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144708975

Genesis Chiropractic, LLC's National Provider Identifier is 1144708975, issued on Aug 2, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Festus, MO. The record was last updated on Jan 16, 2019.