Provider Demographics
NPI:1740031244
Name:PREMIER MUSCLE AND JOINT LLC
Entity type:Organization
Organization Name:PREMIER MUSCLE AND JOINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:PROPST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-535-4609
Mailing Address - Street 1:13895 SCHWEISS LN
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-8857
Mailing Address - Country:US
Mailing Address - Phone:573-535-4609
Mailing Address - Fax:
Practice Address - Street 1:15 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PARK HILLS
Practice Address - State:MO
Practice Address - Zip Code:63601-2613
Practice Address - Country:US
Practice Address - Phone:573-327-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty