Whalio Doctors

NPI 1104014521

Family Wellness Chiropractic, Lcc

Organisation Chiropractor Ellisville, MO

Practice location

Address
355 Ozark Trail Dr STE 9 Clayton-Clarkson Center, Ellisville, MO 63011-2164
Phone
(636) 527-5071

Authorised official

Name
Carrie Ann Jardine
Title
Owner/Manager
Phone
(636) 527-5970

Registered specialties (2)

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 2005014052 (MO)
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 2005014052 (MO)

Registry record

NPI
1104014521
Entity type
Organization
NPI issued
10 Oct 2007
Record last updated
10 Oct 2007

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.