Dr. Viviana Isabel Mata, DC
Chiropractor in Saint Louis, MO. Individual provider (NPI-1).
NPI number1043102403
StatusActive
Last updated in NPPESJul 18, 2025
Details
- NPI
- 1043102403
- Entity type
- Individual (NPI-1)
- Name
- Dr. Viviana Isabel Mata
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2025
- Certification date
- Jul 18, 2025
- Last updated
- Jul 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2025006841 | MO | Yes |
Practice location
880 N McKnight Rd Apt 1nSaint Louis, MO 63132-4834
Phone 201-403-5951
Mailing address
880 N McKnight Rd Apt 1nSaint Louis, MO 63132-4834
Phone 201-403-5951
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