Provider Demographics
NPI:1306183843
Name:WAHL HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:WAHL HEALTH & WELLNESS LLC
Other - Org Name:WAHL FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-681-8521
Mailing Address - Street 1:15455 COUNTRY MILL CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5118
Mailing Address - Country:US
Mailing Address - Phone:314-681-8521
Mailing Address - Fax:
Practice Address - Street 1:1415 ELBRIDGE PAYNE RD
Practice Address - Street 2:145
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-8538
Practice Address - Country:US
Practice Address - Phone:314-681-8388
Practice Address - Fax:636-898-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006002533111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty