Individual
SHANE RAY ACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1382 YMCA DR, FESTUS, MO 63028-2662
(636) 937-7771
(636) 937-7775
Mailing address
1382 YMCA DR, FESTUS, MO 63028-2662
(636) 937-7771
(636) 937-7775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023015283
MO
111N00000X
Chiropractor
CHR.0008623
CO
Other
Enumeration date
03/24/2023
Last updated
05/29/2024
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