Provider Demographics
NPI:1720253446
Name:PHELPS, ARMINTA FRANCES (DC)
Entity type:Individual
Prefix:MRS
First Name:ARMINTA
Middle Name:FRANCES
Last Name:PHELPS
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 1:2700 FORUM BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5433
Mailing Address - Country:US
Mailing Address - Phone:573-442-5520
Mailing Address - Fax:573-442-5524
Practice Address - Street 1:2700 FORUM BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5433
Practice Address - Country:US
Practice Address - Phone:573-442-5520
Practice Address - Fax:573-442-5524
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008005854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor