# CHESTERFIELD SPINE & SPORTS MEDICINE CENTER LLC

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

## Provider details

- **NPI number:** 1134522881
- **Authorized official:** JOSHUA ALLEN ADAMS DC (OWNER/CEO)
- **Authorized official phone:** (270) 252-5840

## Contact information

- **Practice address:** 16216 BAXTER RD, SUITE 190, CHESTERFIELD, MO 63017-4770
- **Practice address phone:** (270) 252-5840
- **Practice address fax:** (636) 778-1179
- **Mailing address:** 16216 BAXTER RD, SUITE 190, CHESTERFIELD, MO 63017-4770
- **Mailing address phone:** (270) 252-5840
- **Mailing address fax:** (636) 778-1179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2012011134 | MO | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 10/08/2014