Healthcare Provider Details

I. General information

NPI: 1982474003
Provider Name (Legal Business Name): PARRISH CHIROPRACTIC AND FUNCTIONAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OZARK TRAIL DR STE 105
ELLISVILLE MO
63011-2156
US

IV. Provider business mailing address

300 OZARK TRAIL DR STE 105
ELLISVILLE MO
63011-2156
US

V. Phone/Fax

Practice location:
  • Phone: 636-207-6600
  • Fax:
Mailing address:
  • Phone: 636-207-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. PAUL PARRISH
Title or Position: PRESIDENT
Credential: DC
Phone: 484-366-6324