Healthcare Provider Details

I. General information

NPI: 1770752016
Provider Name (Legal Business Name): EMILY SPEAR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 07/28/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15945 CLAYTON RD SUITE 230C
ST LOUIS MO
63011
US

IV. Provider business mailing address

15945 CLAYTON RD SUITE 230C
ST LOUIS MO
63011
US

V. Phone/Fax

Practice location:
  • Phone: 636-256-5200
  • Fax: 636-256-5216
Mailing address:
  • Phone: 636-256-5200
  • Fax: 636-256-5216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2008001508
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2008001508
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: