# HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1114057312
- **Authorized official:** MR. JOSEPH F. LAHUE (ADMINISTRATOR)
- **Authorized official phone:** (618) 624-9384

## Contact information

- **Practice address:** 4965 STONE FALLS CTR, SUITE 7, O FALLON, IL 62269-7802
- **Practice address phone:** (618) 624-9384
- **Practice address fax:** (618) 624-9386
- **Mailing address:** 4965 STONE FALLS CTR, SUITE 7, O FALLON, IL 62269-7802
- **Mailing address phone:** (618) 624-9384
- **Mailing address fax:** (618) 624-9386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | — |
| 111NN1001X | Nutrition Chiropractor | — | IL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | IL | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | IL | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 09/11/2025