100 Chiro Dattilo LLC
Organization Active NPI Chiropractor · Des Peres, MO
NPI 1992417513 · NPPES record last updated Dec 14, 2022
Key facts
- NPI
- 1992417513
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 100 CHIRO DATTILO LLC
- Practice address
- 1084 N Ballas Rd
Des Peres, MO 63131-3706 - Phone
- (636) 795-0667
- NPI assigned
- Dec 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Monique Dattilo
- Title
- Franchisee
- Phone
- (636) 795-0667
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1084 N Ballas Rd
Des Peres, MO 63131-3706
Mailing address
1084 N Ballas Rd
Des Peres, MO 63131-3706
Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2022. 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.