# ROSEBERRY CHIROPRACTIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609193887
- **Authorized official:** DR. MICHELLE MARIE ROSEBERRY D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (712) 660-0997

## Contact information

- **Practice address:** 2551 BREDELL AVE, MAPLEWOOD, MO 63143-1807
- **Practice address phone:** (712) 660-0997
- **Mailing address:** 1000 LAKE SAINT LOUIS BLVD, 100, LAKE ST LOUIS, MO 63367-1340
- **Mailing address phone:** (636) 695-4570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2009038320 | MO | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 04/27/2010