Wagner Chiropractic Clinic P.C.
Physical Therapist in Kansas City, MO. Organization (NPI-2).
NPI number1679623391
StatusActive
Last updated in NPPESMar 6, 2009
Details
- NPI
- 1679623391
- Entity type
- Organization (NPI-2)
- Legal business name
- Wagner Chiropractic Clinic P.C.
- Organization subpart
- No
- Enumeration date
- Jan 12, 2007
- Last updated
- Mar 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Other names
- Wagner Wellness Clinic (Doing Business As)
Practice location
9227 N Oak TrfySuite 101
Kansas City, MO 64155-3392
Phone 816-420-3072 · Fax 816-420-3077
Mailing address
9227 N Oak TrfySuite 101
Kansas City, MO 64155-3392
Phone 816-420-3072 · Fax 816-420-3077
Authorized official
Matthias Heinrich Wagner
President
8164203072
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