Healthcare Provider Details

I. General information

NPI: 1902994361
Provider Name (Legal Business Name): TOWNSEND CHIROPRACTIC & WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 OLD ROUTE 66 STE 101
SAINT ROBERT MO
65584-3829
US

IV. Provider business mailing address

P.O. BOX 459
WAYNESVILLE MO
65583
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RICK L. TOWNSEND
Title or Position: PRESIDENT
Credential: DC, NMD, LAC
Phone: 573-336-4221