Provider Demographics
NPI:1902994361
Name:TOWNSEND CHIROPRACTIC & WELLNESS CENTER PC
Entity Type:Organization
Organization Name:TOWNSEND CHIROPRACTIC & WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:DC, NMD, LAC
Authorized Official - Phone:573-336-4221
Mailing Address - Street 1:P.O. BOX 459
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583
Mailing Address - Country:US
Mailing Address - Phone:573-336-4221
Mailing Address - Fax:573-336-4714
Practice Address - Street 1:394 OLD ROUTE 66 STE 101
Practice Address - Street 2:
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584-3829
Practice Address - Country:US
Practice Address - Phone:573-336-4221
Practice Address - Fax:573-336-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO128392OtherBC/BS
MO666734OtherHEALTHLINK
MOT91742Medicare UPIN
MO128392OtherBC/BS