Provider Demographics
NPI:1134228976
Name:TOWNSEND, RICK L (DC, NMD)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:L
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:DC, NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-0459
Mailing Address - Country:US
Mailing Address - Phone:573-336-4221
Mailing Address - Fax:573-996-4714
Practice Address - Street 1:394 OLD ROUTE 66
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584-3727
Practice Address - Country:US
Practice Address - Phone:573-336-4221
Practice Address - Fax:573-996-4714
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO128392OtherBC/BS
MO666734OtherHEALTHLINK
MO666734OtherHEALTHLINK