# TEDDY ALBERT FARIAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Chiropractic & Acupuncture Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518137090
- **Authorized official:** KIMBERLY FARIAS D.C. (CHIROPRACTOR)
- **Authorized official phone:** (314) 497-6143

## Contact information

- **Practice address:** 185 WATSON PLZ, SAINT LOUIS, MO 63126-1962
- **Practice address phone:** (314) 485-5252
- **Mailing address:** 185 WATSON PLZ, SAINT LOUIS, MO 63126-1962
- **Mailing address phone:** (314) 485-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2008002550 | MO | — |
| 111N00000X | Chiropractor | 2008016211 | MO | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 10/23/2008