Organization · Type 2 NPI

St. Louis Optimal Performance, LLC

Chiropractor · Chesterfield, MO

NPI number 1245574367 Active

Practice location

219 Chesterfield Towne Ctr
Chesterfield, MO 63005-1257

Fax (636) 778-9994

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	2012014238 (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.

5 other providers at this address

Other chiropractor providers in Chesterfield

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NPI record

NPI: 1245574367
Entity type: Organization (Type 2)
Issued: Nov 15, 2012
Last updated: Jul 2, 2013
Status: Active
Subpart: Yes of St. Louis Optimal Performance

Other names

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Optimal Performance Center · doing business as

Authorized official

Dr. Brian Andrew Laiderman, DC
Chiropractic Physician/owner
(636) 778-9997

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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 1245574367

St. Louis Optimal Performance, LLC's National Provider Identifier is 1245574367, issued on Nov 15, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chesterfield, MO. The record was last updated on Jul 2, 2013.