Healthcare Provider Details

I. General information

NPI: 1134228976
Provider Name (Legal Business Name): RICK L. TOWNSEND DC, NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 OLD ROUTE 66 SUITE 101
SAINT ROBERT MO
65584-3727
US

IV. Provider business mailing address

PO BOX 459
WAYNESVILLE MO
65583-0459
US

V. Phone/Fax

Practice location:
  • Phone: 573-336-4221
  • Fax: 573-996-4714
Mailing address:
  • Phone: 573-336-4221
  • Fax: 573-996-4714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006067
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: