Healthcare Provider Details

I. General information

NPI: 1326981408
Provider Name (Legal Business Name): OPTIMAL CHIROPRACTIC & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 W 11TH ST STE D
SEDALIA MO
65301-5105
US

IV. Provider business mailing address

17625 HIGHWAY YY
MARSHALL MO
65340-5125
US

V. Phone/Fax

Practice location:
  • Phone: 913-326-3837
  • Fax:
Mailing address:
  • Phone: 913-326-3837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MATTHEW DEREK PIEPER
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 913-326-3837