| NPI | 1780836601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON GALE TROST Owner/Doctor 620-504-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KS 01-04626) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2014-07-03 |