Healthcare Provider Details

I. General information

NPI: 1487585238
Provider Name (Legal Business Name): THE COLLECTIVE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 RUSH WAY STE 103
O FALLON MO
63368-2328
US

IV. Provider business mailing address

10 ARDENNES PL
LAKE ST LOUIS MO
63367-1634
US

V. Phone/Fax

Practice location:
  • Phone: 816-433-8420
  • Fax:
Mailing address:
  • Phone: 816-433-8420
  • 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. SEBASTIAN KALM
Title or Position: OWNER AND DIRECTOR
Credential: DC
Phone: 816-433-8420