| NPI | 1104041631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY SCOTT PIVA Chiropractor 816-540-8932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2003026730) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 0104704) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-02-07 |