MEDICARE: 31 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	2018027035	MO

General Provider Information

NPI Number	:	1447732516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	31 CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	PO BOX 156
Second Line	:
City	:	LINCOLN
State	:	MO
Zip	:	65338-0156
Country	:	US
Telephone Number	:	660-460-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	292 S 65 HWY
Second Line	:
City	:	LINCOLN
State	:	MO
Zip	:	65338-2587
Country	:	US
Telephone Number	:	660-460-3719
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. LINDSEY CHRISTINE DECKER
Credential	:	DC
Telephone Number	:	660-460-3719

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	09/16/2021

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Directions to “31 CHIROPRACTIC, LLC ” Practice Location

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