Healthcare Provider Details

I. General information

NPI: 1205021839
Provider Name (Legal Business Name): AMY A. SCHEIBLE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY A. WEBSTER D.C.

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 06/18/2023
Certification Date: 06/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5089 COLEMAN RD
VILLA RIDGE MO
63089-1416
US

IV. Provider business mailing address

PO BOX 170
LABADIE MO
63055-0170
US

V. Phone/Fax

Practice location:
  • Phone: 314-306-1616
  • Fax: 833-722-0255
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2007019138
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: