OrganizationActive
Holistic Chiropractic & Rehabilitation Center, LLC
NPI 1114057312 · Clinical Electrophysiology Physical Therapist · O Fallon, IL
Provider details
- NPI number
- 1114057312
- Entity type
- Organization
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Lahue, Administrator(618) 624-9384
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Chiropractor111N00000X
Chiropractic Providers
- Chiropractor111N00000X
Chiropractic Providers
- Chiropractor111N00000X
Chiropractic Providers
- Nutrition Chiropractor111NN1001X
Chiropractic Providers
- Nutrition Chiropractor111NN1001X
Chiropractic Providers
Practice location
4965 Stone Falls Ctr
Suite 7
O Fallon, IL 62269-7802
Phone: (618) 624-9384
Fax: (618) 624-9386
Approximate (ZIP-level) locationGet directions
Mailing address
4965 Stone Falls Ctr
O Fallon, IL 62269-7802
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.