Individual
DR. JAKE WAYNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.S., B.S.
Contact information
Practice address
1676 BRYAN RD STE 111, DARDENNE PRAIRIE, MO 63368-4801
(314) 800-8609
(636) 385-6507
Mailing address
137 SHADOW POINTE DR, WENTZVILLE, MO 63385-3685
(314) 800-8609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016043441
MO
111NR0400X
Rehabilitation Chiropractor
2016043441
MO
Other
Enumeration date
02/19/2016
Last updated
05/30/2023
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