Twin City Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2005036767 Issued in MO

Legal business name

TWIN CITY WELLNESS CENTER LLC

Practice address

105 Borga Building
Festus, MO 63028-1136

Phone

(314) 398-5800

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tjode Mickelson, D.C.

Title

Chiropractor

Phone

(314) 398-5800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710199609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BORGA BUILDING",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281136",
            "telephone_number": "314-398-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BORGA BUILDING",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281136",
            "telephone_number": "314-398-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "TJODE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "314-398-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005036767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Trueman, LCSW
• Danny Jason Turner, DDS
• Sandra Ann Turpen, PNP
• Twin Cities Ambulatory Surgery Center LP
• Twin City Internal Medicine Specialists, Inc.
• Bryan Thomas Vahey, DO
• Travis M Vangsnes
• Zachary Vaugh, NP
• Dawn Vaughn
• Henry Vaughn IV, RPH

• Chiropractor in Festus, MO
• Providers in Festus, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.