OrganizationActive
Aequa Health and Wellness LLC
NPI 1235543158 · Chiropractor · Ellisville, MO
Provider details
- NPI number
- 1235543158
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Daniel Fazio, Owner(636) 227-4442
- License
- 2009030088 (MO)
Specialties & taxonomies
Chiropractic Providers
Practice location
179 Clarkson Executive Park
Ellisville, MO 63011-2176
Phone: (636) 227-4442
Approximate (ZIP-level) locationGet directions
Mailing address
179 Clarkson Executive Park
Ellisville, MO 63011-2176
Registry dates
- Enumerated
- 2014-06-18
- Last updated
- 2014-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.