Healthcare Provider Details

I. General information

NPI: 1346951837
Provider Name (Legal Business Name): MORRISON CHIROPRACTIC & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S HANLEY RD STE 130
CLAYTON MO
63105-3418
US

IV. Provider business mailing address

112 S HANLEY RD STE 130
CLAYTON MO
63105-3418
US

V. Phone/Fax

Practice location:
  • Phone: 314-862-5700
  • Fax: 314-862-6258
Mailing address:
  • Phone: 314-862-5700
  • Fax: 314-862-6258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: LAURA MCKINNEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 314-862-5700