Healthcare Provider Details

I. General information

NPI: 1588595037
Provider Name (Legal Business Name): OLSON FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 JUNGERMANN RD STE 209
SAINT PETERS MO
63376-5365
US

IV. Provider business mailing address

235 JUNGERMANN RD STE 209
SAINT PETERS MO
63376-5365
US

V. Phone/Fax

Practice location:
  • Phone: 636-928-7387
  • Fax:
Mailing address:
  • Phone: 636-928-7387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RYLIE M OLSON
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 515-729-6993