| NPI | 1154755585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEANNE WESTERVELT Billing Specialist 816-585-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2000161199) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-08-12 |