Thrive for Life Chiropractic LLC
Organization Active NPI Chiropractor · Frontenac, MO
NPI 1295149482 · NPPES record last updated Jun 16, 2014
Key facts
- NPI
- 1295149482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2011012320 (MO)
- Legal business name
- THRIVE FOR LIFE CHIROPRACTIC LLC
- Practice address
- 729 Old Frontenac SQ
Frontenac, MO 63131-2745 - Phone
- (314) 395-4934
- NPI assigned
- Jun 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Matt Smith, D.C.
- Title
- Chiropractic Physician
- Phone
- (314) 395-4934
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2011012320 | MO | Yes |
Addresses
Primary practice location
729 Old Frontenac SQ
Frontenac, MO 63131-2745
Mailing address
729 Old Frontenac SQ
Frontenac, MO 63131-2745
Phone (314) 395-4934
Other providers in Frontenac, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2014. 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.