MEDICARE: CENTER FOR INTEGRATED HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CE006544	MO

General Provider Information

NPI Number	:	1649482811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR INTEGRATED HEALTH LLC

Provider Business Mailing Address
First Line	:	7700 CLAYTON RD
Second Line	:	STE 204
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1346
Country	:	US
Telephone Number	:	314-781-8887
Fax Number	:	314-863-8115

Provider Business Practice Location Address
First Line	:	7700 CLAYTON RD
Second Line	:	STE 204
City	:	SAINT LOUIS
State	:	MO
Zip	:	63117-1346
Country	:	US
Telephone Number	:	314-781-8887
Fax Number	:	314-863-8115

Authorized Official
Title or Position	:	OWNER
Name	:	TRACEY M FINK
Credential	:	DC
Telephone Number	:	314-781-8887

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	02/01/2008

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Directions to “CENTER FOR INTEGRATED HEALTH LLC ” Practice Location

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