Individual provider · NPI-1
Dr. Devon Lowell Ackroyd, DC, MS, DACBSP
Chiropractor, Sports Physician · Saint Louis, MO
NPI number1437648623
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1437648623
- Entity type
- Individual (NPI-1)
- Name
- Dr. Devon Lowell Ackroyd
- Credential
- DC, MS, DACBSP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2018
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 2018001705 | MO | Yes |
| 111N00000X | Chiropractor | 2018001705 | MO |
Practice location
10279 Clayton RdSaint Louis, MO 63124-1115
Phone 314-390-9915
Mailing address
10279 Clayton RdSaint Louis, MO 63124-1115
Phone 314-550-6220
Other practice locations
1517 Rue Renee
Saint Louis, MO 63122-1445
Saint Louis, MO 63122-1445
Phone 314-550-6220
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