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Organization

THE WELL CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HALEY VIETH D.C. (CHIROPRACTOR)
(417) 501-6993
Entity
Organization

Contact information

Practice address
3164 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4911
(427) 501-6993
Mailing address
3164 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4911

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063213619
TYPE 1 (INDIVIDUAL) NPI
MO
Enumeration date
08/05/2025
Last updated
08/05/2025
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