Provider Demographics
NPI:1407245814
Name:ARNOLD, CHELSIE LEE (DC)
Entity Type:Individual
Prefix:
First Name:CHELSIE
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 TRIAD SOUTH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-3507
Mailing Address - Country:US
Mailing Address - Phone:636-244-4994
Mailing Address - Fax:
Practice Address - Street 1:20 TRIAD SOUTH DR
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-3507
Practice Address - Country:US
Practice Address - Phone:636-244-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015001798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor