MEDICARE: ANNELISE HARDY DC

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	2025043325	MO

General Provider Information

NPI Number	:	1811843238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNELISE HARDY DC

Provider Business Mailing Address
First Line	:	100 CHESTERFIELD BUSINESS PKWY FL 2
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1271
Country	:	US
Telephone Number	:	636-577-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHESTERFIELD BUSINESS PKWY FL 2
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1271
Country	:	US
Telephone Number	:	636-577-8743
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ ANNELISE HARDY DC” Practice Location

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