Provider Demographics
NPI:1386139152
Name:RICHARDSON, DARCY (DC)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DARCY
Other - Middle Name:
Other - Last Name:SCHIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:206 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64468-2229
Mailing Address - Country:US
Mailing Address - Phone:660-582-8099
Mailing Address - Fax:660-562-5161
Practice Address - Street 1:206 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468-2229
Practice Address - Country:US
Practice Address - Phone:660-582-8099
Practice Address - Fax:660-562-5161
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018015154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor