Provider Type Icon

KRISTINA RUDDLE D.C. LLC NPI 1487011268


NPI Information

NPI: 1487011268
Provider Name: KRISTINA RUDDLE D.C. LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4455 TELEGRAPH RD STE 250
SAINT LOUIS, MO
ZIP 63129
Phone: (314) 416-4900
Get Directions

KRISTINA RUDDLE D.C. LLC is a chiropractor in Saint Louis, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KRISTINA RUDDLE D.C. LLC NPI is 1487011268. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4455 TELEGRAPH RD STE 250
SAINT LOUIS, MO
ZIP 63129-354
Phone: (314) 416-4900
Fax: (314) 487-4669

The provider's authorized official is Kristina Ruddle .
The authorized official title is Doctor/owner and has the following contact phone number (314) 775-5396.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 1/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2016000080MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.