Healthcare Provider Details

I. General information

NPI: 1356569479
Provider Name (Legal Business Name): INMOTION CHIROPRACTIC HEALTH CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 CLAYTON RD
RICHMOND HEIGHTS MO
63117-1325
US

IV. Provider business mailing address

7800 CLAYTON RD
RICHMOND HEIGHTS MO
63117-1325
US

V. Phone/Fax

Practice location:
  • Phone: 314-644-2081
  • Fax: 314-644-2309
Mailing address:
  • Phone: 314-644-2081
  • Fax: 314-644-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number004472
License Number StateMO

VIII. Authorized Official

Name: DR. SHARON FITELSON
Title or Position: OWNER
Credential: D.C. DABCO
Phone: 314-644-2081