| NPI | 1760811822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY T HUMMEL Owner 316-733-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: KS 01-05122) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |