Provider Demographics
NPI:1447492368
Name:STURMER, REBECCA TETERA (DC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:TETERA
Last Name:STURMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 CARONDELET AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3316
Mailing Address - Country:US
Mailing Address - Phone:314-727-8887
Mailing Address - Fax:314-727-8893
Practice Address - Street 1:7751 CARONDELET AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3316
Practice Address - Country:US
Practice Address - Phone:314-727-8887
Practice Address - Fax:314-727-8893
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006256111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor