Provider Demographics
NPI:1043104243
Name:ANANDA CHIROPRACTIC AND ACUPUNCTURE LLC
Entity type:Organization
Organization Name:ANANDA CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCIPHO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-329-5754
Mailing Address - Street 1:320 BROOKES DR STE 209
Mailing Address - Street 2:
Mailing Address - City:HAZELWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63042-2740
Mailing Address - Country:US
Mailing Address - Phone:314-329-5754
Mailing Address - Fax:
Practice Address - Street 1:320 BROOKES DR STE 209
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-2740
Practice Address - Country:US
Practice Address - Phone:314-329-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty