NPI 1033546056

Experience Your Greatness

Organisation Chiropractor Ellisville, MO

Practice location

Address: 249 Clarkson Rd Suite 101, Ellisville, MO 63011-2497
Phone: (636) 256-0707

Authorised official

Name: Ronald G. Nisbet
Title: Owner
Phone: (636) 256-0707

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2006032027 (MO)

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Registry record

NPI: 1033546056
Entity type: Organization
NPI issued: 4 Oct 2013
Record last updated: 4 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.