Individual
THOMAS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11133 LINDBERGH BUS CT, SAINT LOUIS, MO 63123-7810
(314) 416-1960
(314) 416-1584
Mailing address
11133 LINDBERGH BUS CT, SAINT LOUIS, MO 63123-7810
(314) 416-1960
(314) 416-1584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005985
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5204120
AETNA
MO
01
—
628152
OPTUM UHC
MO
01
—
P02829138
RAILROAD MEDICARE
MO
Enumeration date
06/07/2006
Last updated
07/16/2026
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