Advanced Sports And Family Chiropractic, LLC
Chiropractor in Overland Park, KS. Organization (NPI-2).
NPI number1376710293
StatusActive
Last updated in NPPESMay 22, 2014
Details
- NPI
- 1376710293
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Sports And Family Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- May 9, 2008
- Last updated
- May 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 0105014 | KS | Yes |
Practice location
12643 Metcalf AveOverland Park, KS 66213-1317
Phone 913-643-1771 · Fax 913-643-1775
Mailing address
12643 Metcalf AveOverland Park, KS 66213-1317
Phone 913-643-1771 · Fax 913-643-1775
Authorized official
Brad Michael Woodle
President
9136431771
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