Healthcare Provider Details

I. General information

NPI: 1194638353
Provider Name (Legal Business Name): HOFFMAN FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303A MID RIVERS MALL DR
SAINT PETERS MO
63376-1516
US

IV. Provider business mailing address

141 MISTY VIEW LN
SAINT PETERS MO
63376-5336
US

V. Phone/Fax

Practice location:
  • Phone: 636-970-0155
  • Fax: 636-970-0159
Mailing address:
  • Phone: 636-346-4571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JESSICA LYNN HOFFMAN
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 636-346-4561