Provider Demographics
NPI:1457743734
Name:VASEL, CHELSEA A (DC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:A
Last Name:VASEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:A
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:101 RICHARDSON CROSSING
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010
Mailing Address - Country:US
Mailing Address - Phone:636-464-8360
Mailing Address - Fax:
Practice Address - Street 1:101 RICHARDSON CROSSING
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010
Practice Address - Country:US
Practice Address - Phone:636-464-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015000295111N00000X
MO20150000295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor