| NPI | 1871858472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS T MOORE Owner 816-623-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012013030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2012030934) |
| 111N00000X Chiropractor (Licence: MO 2012015058) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-10-31 |