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NPI 1134460090

OrganizationActive

Tara Adams LLC

NPI 1134460090 · Sports Physician Chiropractor · Ballwin, MO

Provider details

NPI number: 1134460090
Entity type: Organization
Primary specialty: Sports Physician ChiropractorChiropractic Providers
Authorized official: Tara Adams, Owner
License: 2012027709 (MO)

Practice location

429 Coronado Dr

Ballwin, MO 63011-2543

Phone: (636) 346-1390

More MO providers

Mailing address

429 Coronado Dr

Ballwin, MO 63011-2543

Registry dates

Enumerated: 2013-03-01
Last updated: 2013-03-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tara Adams LLC — NPI 1134460090, Ballwin, MO | NPI Central