Organization
TRUE HEALTH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT RODNEY JACKSON DC (PRESIDENT)
(636) 614-0401
Entity
Organization
Contact information
Practice address
5551 WINGHAVEN BLVD STE 20, O FALLON, MO 63368-3618
(636) 614-0401
(636) 265-0014
Mailing address
5551 WINGHAVEN BLVD STE 20, O FALLON, MO 63368-3618
(636) 614-0401
(636) 265-0014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011014558
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12386480
CAQH
—
01
—
1578896031
INDIVIDUAL NPI
—
01
—
1922367515
INDIVIDUAL NPI
—
Enumeration date
06/17/2011
Last updated
04/04/2022
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