NPI | 1730300831 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY W ROBERTS President 913-385-5444 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: KS 4777) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: KS 4777) |
111NS0005X Chiropractor, Sports Physician (Licence: KS 4777) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |