Healthcare Provider Details

I. General information

NPI: 1346358066
Provider Name (Legal Business Name): AIMEE R JOKERST D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 RONNIES PLZ
SAINT LOUIS MO
63126-3552
US

IV. Provider business mailing address

14 RONNIES PLZ
SAINT LOUIS MO
63126-3552
US

V. Phone/Fax

Practice location:
  • Phone: 314-501-0756
  • Fax:
Mailing address:
  • Phone: 314-501-0756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCE006694
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: