Provider Demographics
NPI:1568117570
Name:SOULBEAT CHIROPRACTIC AND ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:SOULBEAT CHIROPRACTIC AND ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:CHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-495-1525
Mailing Address - Street 1:2745 HIGH RIDGE BLVD STE 5B
Mailing Address - Street 2:
Mailing Address - City:HIGH RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63049-2200
Mailing Address - Country:US
Mailing Address - Phone:636-495-1525
Mailing Address - Fax:636-495-1525
Practice Address - Street 1:2745 HIGH RIDGE BLVD STE 5B
Practice Address - Street 2:
Practice Address - City:HIGH RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63049-2200
Practice Address - Country:US
Practice Address - Phone:636-495-1525
Practice Address - Fax:636-495-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center