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 |