OrganizationActive
Boonville Chiropractic LLC
NPI 1154090710 · Clinic/Center · Boonville, MO
Provider details
- NPI number
- 1154090710
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tanner Green, Owner
Mailing address
321 Main St
Boonville, MO 65233-1565
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.