Healthcare Provider Details

I. General information

NPI: 1528921228
Provider Name (Legal Business Name): CHRISTOPHER DAILEY II DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 AUGUST PL
ST. LOUIS MO
63034
US

IV. Provider business mailing address

118 AUGUST PL
ST. LOUIS MO
63034
US

V. Phone/Fax

Practice location:
  • Phone: 314-357-9924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025051906
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: