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Chiropractor · Ellisville, MO

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At a glance

249 Clarkson Rd, Ellisville, MO 63011-2497

NPPES record updated Oct 4, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

249 Clarkson Rd Suite 101
Ellisville, MO 63011-2497

Professional details: NPI, taxonomy & registry record

NPI1033546056

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Registry details

Primary taxonomy: Chiropractor
Taxonomy code: 111N00000X
Enumeration date: Oct 4, 2013
Record updated: Oct 4, 2013

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Chiropractor

111N00000X · Primary

License reported: 2006032027 MO

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

249 Clarkson Rd
Suite 101
Ellisville, MO 63011-2497

Phone: (636) 256-0707

Mailing address

249 CLARKSON RD
SUITE 101
ELLISVILLE, MO 630112497

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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