MEDICARE: MIKAYLA MCTIGUE RD

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	133V00000X	Registered Dietitian	164011635	IL
2	133V00000X	Registered Dietitian	2022049496	MO

General Provider Information

NPI Number	:	1598556243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAYLA MCTIGUE RD

Provider Business Mailing Address
First Line	:	1110 DUNSTON DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5644
Country	:	US
Telephone Number	:	314-740-5125
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 DUNSTON DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-5644
Country	:	US
Telephone Number	:	314-740-5125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

Similar Medicare Providers

1356146427 — D' HEALING TOUCH
Practice Location Address:

2012 WOODSON RD STE D
SAINT LOUIS, MO
63114-5644

Practice Phone: 557-221-8600
Practice Fax:

1124194428 — PROFICIENT CHIROPRACTIC LLC
Practice Location Address:

2050 WOODSON RD , STE #101
SAINT LOUIS, MO
63114-5644

Practice Phone: 314-713-1656
Practice Fax: 314-395-0607

1164643680 — TIPLER CHIROPRACTIC & REHABILITATION LLC
Practice Location Address:

2050 WOODSON RD STE 101
SAINT LOUIS, MO
63114-5644

Practice Phone: 314-447-0725
Practice Fax: 314-447-0726

1821429077 — PROFICIENT CHIROPRACTIC HOLDINGS LLC
Practice Location Address:

2050 WOODSON RD , SUITE 101
SAINT LOUIS, MO
63114-5644

Practice Phone: 314-276-4154
Practice Fax: 314-447-0726

1861448128 — CHRISTOPHER L EAGAN DO
Practice Location Address:

2750 SAINT FRANCIS DR , STE 319
WATERLOO, IA
50702-5644

Practice Phone: 319-272-5000
Practice Fax: 319-272-5788

1184666539 — DR. PENUMETSA B RAJU M.D.
Practice Location Address:

2750 SAINT FRANCIS DR
WATERLOO, IA
50702-5644

Practice Phone: 319-272-8922
Practice Fax: 319-272-8929

Directions to “ MIKAYLA MCTIGUE RD” 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.