NPI 1235543158

Aequa Health and Wellness LLC

Organisation Chiropractor Ellisville, MO

Practice location

Address: 179 Clarkson Executive Park, Ellisville, MO 63011-2176
Phone: (636) 227-4442

Authorised official

Name: Daniel Michael Fazio
Title: Owner
Phone: (636) 227-4442

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 2009030088 (MO)

Other Chiropractor providers in Missouri →

Registry record

NPI: 1235543158
Entity type: Organization
NPI issued: 18 Jun 2014
Record last updated: 18 Jun 2014

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.