Provider Demographics
NPI:1932407335
Name:CROWLEY, TERENCE MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:MICHAEL
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 LOCUST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1230
Mailing Address - Country:US
Mailing Address - Phone:314-932-1277
Mailing Address - Fax:314-932-1278
Practice Address - Street 1:3141 LOCUST ST STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103
Practice Address - Country:US
Practice Address - Phone:314-932-1277
Practice Address - Fax:314-932-1278
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011021467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor