Renny Russell Dc PC
Chiropractor in Pleasant Valley, MO. Organization (NPI-2).
NPI number1609019587
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1609019587
- Entity type
- Organization (NPI-2)
- Legal business name
- Renny Russell Dc PC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2009
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2008015663 | MO | Yes |
Other names
- Renny Spine & Sport (Doing Business As)
- Dr. Renny Russell Dc (Other Name)
Practice location
6624 Royal StPleasant Valley, MO 64068-8711
Phone 816-824-9690
Mailing address
6624 Royal StPleasant Valley, MO 64068-8711
Phone 816-824-9690
Authorized official
Renny Beau Russell
Chiropractor
8168249690
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