Russell Chiropractic LLC

NPI #1962656777 in O Fallon, Missouri

Provider Information

NPI Number: 1962656777
Entity Type: Organization
Organization Name: Russell Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Nov 6, 2008
Last Updated: Nov 6, 2008

Practice Location

Address: 2161 W TERRA LN
City: O Fallon
State: Missouri
ZIP Code: 63366-2366
Phone: (636) 887-9003

Authorized Official

Name: DR. TRAVIS ALAN RUSSELL, D.C.
Title: DR. OF CHIROPRACTIC
Phone: (314) 604-5761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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