# WIBBENMEYER CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043526270
- **Authorized official:** JANE L WIBBENMEYER DC (OWNER/PRESIDENT)
- **Authorized official phone:** (314) 918-8030

## Contact information

- **Practice address:** 7539 RAVENSRIDGE RD, SAINT LOUIS, MO 63119-5502
- **Practice address phone:** (314) 918-8090
- **Practice address fax:** (314) 961-2954
- **Mailing address:** 7539 RAVENSRIDGE RD, SAINT LOUIS, MO 63119-5502
- **Mailing address phone:** (314) 918-8090
- **Mailing address fax:** (314) 961-2954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CE005678 | MO | Yes |

## Other

- **Enumeration date:** 08/25/2010
- **Last updated:** 08/25/2010