Organization · Type 2 NPI
Lake St. Louis Chiropractic
Chiropractor · Ofallon, MO
NPI number
1649454661
Active
Practice location
2161 West Terra Lane
Ofallon, MO 63366-2366
Fax (636) 327-6090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2007032057 (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.
About NPI 1649454661
Lake St. Louis Chiropractic's National Provider Identifier is 1649454661, issued on Dec 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ofallon, MO. The record was last updated on Feb 4, 2009.