MEDICARE: WARMANN CHIROPRACTIC 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

General Provider Information

NPI Number	:	1336828789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARMANN CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	114 KNAUST RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-4208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 KNAUST RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-4208
Country	:	US
Telephone Number	:	636-751-9301
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	DR. MIRANDA MOORE
Credential	:	DC
Telephone Number	:	636-751-9301

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	12/07/2025

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