| NPI | 1639474349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL M GREEN Owner 816-387-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2011000648) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2011000648) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2011000648) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-03-25 |