Healthcare Provider Details

I. General information

NPI: 1760291272
Provider Name (Legal Business Name): EMMA PIEPER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
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

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

V. Phone/Fax

Practice location:
  • Phone: 660-570-4774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2024050199
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: