Maran Alexandra Tennis, DC
Chiropractor in Kansas City, MO. Individual provider (NPI-1).
NPI number1982201455
StatusActive
Last updated in NPPESNov 5, 2021
Details
- NPI
- 1982201455
- Entity type
- Individual (NPI-1)
- Name
- Maran Alexandra Tennis
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Oct 19, 2021
- Last updated
- Nov 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2020018548 | MO | Yes |
Practice location
7817 Wornall RoadKansas City, MO 64114
Phone 816-281-7633
Mailing address
7817 Wornall RoadKansas City, MO 64114-1846
Phone 618-843-1774
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