Fully Alive Gonstead Clinic LLC

NPI #1750240479 in Troy, Missouri

Provider Information

NPI Number
1750240479
Entity Type
Organization
Organization Name
Fully Alive Gonstead Clinic LLC
Primary Specialty
Chiropractor
Enumeration Date
Jan 19, 2026
Last Updated
Jan 19, 2026

Practice Location

Address
111 ANNA AVE
City
Troy
ZIP Code
63379-2402
Phone
(636) 245-7477

Authorized Official

Name
DR. LEVI MILLER, DC
Title
OWNER/DOCTOR
Phone
(636) 245-7477

Specialties & Taxonomy Codes

Specialty
Chiropractor

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