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NPI Code Detail

MEDICARE: WILLIS CHIROPRACTIC LLC

MEDICARE: WILLIS 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1427985605
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIS CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 8641 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-5109
Country : US
Telephone Number : 314-962-3130
Fax Number : 314-962-7233
Provider Business Practice Location Address
First Line : 8641 WATSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63119-5109
Country : US
Telephone Number : 314-962-3130
Fax Number : 314-962-7233
Authorized Official
Title or Position : DOCTOR
Name : DR. DAMEON LEE WILLIS
Credential : DC
Telephone Number : 314-586-5434
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/12/2026

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Directions to “WILLIS CHIROPRACTIC LLC ” Practice Location

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