Individual provider · Type 1 NPI

Matthew Jordan Tellor, DC

Chiropractor · St. Louis, MO

NPI number 1922420801 Active

Practice location

14 Ronnies Plz
St. Louis, MO 63126-3552

Call (314) 243-2549 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2014000408 (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.

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About NPI 1922420801

Matthew Jordan Tellor, DC's National Provider Identifier is 1922420801, issued on Jan 13, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 13, 2014.