WELLNESS CONCEPTS CLINIC NPI 1073805776

NPI Information

  • NPI: 1073805776
  • Provider Name: WELLNESS CONCEPTS CLINIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1200 E WOODHURST DR
    SUITE R300
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 877-1300

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NPI Details

WELLNESS CONCEPTS CLINIC is a chiropractor in Springfield, 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. WELLNESS CONCEPTS CLINIC NPI is 1073805776. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 E WOODHURST DR
SUITE R300
SPRINGFIELD, MO
ZIP 65804-261
Phone: (417) 877-1300
Fax: (417) 877-1335

The provider's authorized official is Jill Reavis-aleman .
The authorized official title is Acupuncturist and has the following contact phone number (417) 877-1300.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/12/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2007008411MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12007008411MEDICARE UPINMISSOURI
22010000775OTHERMISSOURILICENSE
32003027886MEDICARE UPINMISSOURI
42002030343OTHERMISSOURILICENSE

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: 11/21/2025

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