Abundant Life Chiropractics, LLC
Organization Active NPI Chiropractor · Weldon Spring, MO
NPI 1104124619 · NPPES record last updated Mar 31, 2011
Key facts
- NPI
- 1104124619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2002032305 (MO)
- Legal business name
- ABUNDANT LIFE CHIROPRACTICS, LLC
- Practice address
- 1090 Wolfrum Rd
Weldon Spring, MO 63304-7795 - Phone
- (636) 447-8600
- Fax
- (636) 447-8842
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Brandon R Maxwell, D.C.
- Title
- Owner
- Phone
- (636) 447-8600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2002032305 | MO | Yes |
Addresses
Primary practice location
1090 Wolfrum Rd
Weldon Spring, MO 63304-7795
Mailing address
1090 Wolfrum Rd
Weldon Spring, MO 63304-7795
Phone (636) 447-8600
Other providers in Weldon Spring, MO
- Stephanie L Adams
- Allure in-Home Health Services, LLC
- Shannon Williams Ankenbrandt
- Lydia Kimbrough Baer
- Annie Bea Bauer
All providers in Weldon Spring, MO · Chiropractor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.