Healthcare Provider Details

I. General information

NPI: 1609690866
Provider Name (Legal Business Name): MAGHEN HARTSHORNE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1957 WENTZVILLE PKWY
WENTZVILLE MO
63385-3424
US

IV. Provider business mailing address

16725 MARCROSS CT
CHESTERFIELD MO
63005-4807
US

V. Phone/Fax

Practice location:
  • Phone: 636-445-5888
  • Fax:
Mailing address:
  • Phone: 580-644-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2024039796
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: