Michael L Masucci DC LLC
Organization Active NPI Chiropractor · Wildwood, MO
NPI 1689084972 · NPPES record last updated May 7, 2014
Key facts
- NPI
- 1689084972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2014013287 (MO)
- Legal business name
- MICHAEL L MASUCCI DC LLC
- Practice address
- 2124 Babler Ridge LN
Wildwood, MO 63038-1178 - Phone
- (636) 458-9356
- NPI assigned
- May 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Michael Laurens Masucci, D.C.
- Title
- Owner Manager
- Phone
- (636) 458-9356
Practitioners 2
-
James W. George, D.C.
-
Jacob William Stegmaier, D.C.
National Provider Directory
Locations
1099 Milwaukee St
Saint Louis, MO 63122
Phone (314) 822-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2014013287 | MO | Yes |
Addresses
Primary practice location
2124 Babler Ridge LN
Wildwood, MO 63038-1178
Mailing address
2124 Babler Ridge LN
Wildwood, MO 63038-1178
Phone (636) 458-9356
Other providers in Wildwood, MO
- Jacquelyn M Mellis
- Mercy Clinic East Communities
- Mercy Pharmacy Services LLC
- Metro West Fire Protection District of St Louis City
- Edmond James Meyer
- Midwest Counseling & Consulting, LLC
- Jonathan Miller
- Missouri CVS Pharmacy, L.L.C.
- Missouri Dental Professionals, Richard Straus, DMD, PC
- Amal Maher Morcos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 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.