Healthcare Provider Details

I. General information

NPI: 1528972882
Provider Name (Legal Business Name): NEW FOUNDATION CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 W MOUNT VERNON ST
NIXA MO
65714-7003
US

IV. Provider business mailing address

PO BOX 1768
NIXA MO
65714-1768
US

V. Phone/Fax

Practice location:
  • Phone: 417-725-6655
  • Fax:
Mailing address:
  • Phone: 417-725-6655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GARRETT GABEL
Title or Position: OWNER/ DOCTOR
Credential: DC
Phone: 417-725-6655