Individual
MRS. CANDICE JUSTINE EXELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, CCSP, LAT
Contact information
Practice address
1023 MAIN PLAZA DR, WENTZVILLE, MO 63385-1170
(636) 639-8944
Mailing address
33 SPANGLE WAY DR, O FALLON, MO 63366-5525
(714) 624-9538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2023050816
MO
2255A2300X
Athletic Trainer
2017002741
MO
Other
Enumeration date
11/01/2018
Last updated
07/30/2025
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