Individual provider · Type 1 NPI

Kristina Ruddle, DC

Chiropractor · St. Louis, MO

NPI number 1376909135 Active

Practice location

4455 Telegraph Rd Ste 250
St. Louis, MO 63129-3354

Call (314) 416-4900 Map

Fax (314) 487-4669

Mailing address

136 Country Club Parc Ct
Imperial, MO 63052-3626

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	2016000080 (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

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About NPI 1376909135

Kristina Ruddle, DC's National Provider Identifier is 1376909135, issued on Jan 10, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 10, 2016.