Healthcare Provider Details

I. General information

NPI: 1366351116
Provider Name (Legal Business Name): GARRETT EDWARD GABEL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 W MOUNT VERNON ST
NIXA MO
65714-7003
US

IV. Provider business mailing address

1303 E GREENWOOD ST
SPRINGFIELD MO
65804-3620
US

V. Phone/Fax

Practice location:
  • Phone: 785-727-8487
  • Fax:
Mailing address:
  • Phone: 785-727-8487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026030428
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: