MEDICARE: LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	20004024604	MO

General Provider Information

NPI Number	:	1083719447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC

Provider Business Mailing Address
First Line	:	1013 S 18TH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-2909
Country	:	US
Telephone Number	:	314-436-3050
Fax Number	:	314-499-8310

Provider Business Practice Location Address
First Line	:	1013 S 18TH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63104-2909
Country	:	US
Telephone Number	:	314-497-5507
Fax Number	:	314-499-8310

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CRYSTAL B PEAIRS
Credential	:	D.C.
Telephone Number	:	314-497-5507

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	09/16/2022

Similar Medicare Providers

1467407304 — DR. CRYSTAL B PEAIRS D.C.
Practice Location Address:

1013 S 18TH ST
SAINT LOUIS, MO
63104-2909

Practice Phone: 314-436-3050
Practice Fax:

1205503042 — DR. VERONICA TINO DC
Practice Location Address:

1013 S 18TH ST
SAINT LOUIS, MO
63104-2909

Practice Phone: 314-436-3050
Practice Fax:

1851069165 — DR. MICHAEL WULFEKUHLE D.C.
Practice Location Address:

1013 S 18TH ST
SAINT LOUIS, MO
63104-2909

Practice Phone: 314-436-3050
Practice Fax:

1003842485 — REHAB DYNAMICS, INC.
Practice Location Address:

10435 CLAYTON RD , SUITE 10
SAINT LOUIS, MO
63131-2909

Practice Phone: 314-442-6249
Practice Fax: 314-787-5949

1629182829 — JEFFERY A HARDY M.D.
Practice Location Address:

2344 HAMPTON AVE
SAINT LOUIS, MO
63139-2909

Practice Phone: 314-647-2344
Practice Fax: 314-647-6108

1609923093 — THOMAS M VESELY MD
Practice Location Address:

10435 CLAYTON RD , SUITE 200
SAINT LOUIS, MO
63131-2909

Practice Phone: 314-863-1716
Practice Fax:

Directions to “LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.