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ACTIVE BODY CHIROPRACTIC & WELLNESS LLC NPI 1154660199


NPI Information

NPI: 1154660199
Provider Name: ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
19101 E VALLEY VIEW PKWY STE J
INDEPENDENCE, MO
ZIP 64055
Phone: (816) 795-0300
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ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC is a chiropractor in Independence, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC NPI is 1154660199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19101 E VALLEY VIEW PKWY STE J
INDEPENDENCE, MO
ZIP 64055-907
Phone: (816) 795-0300

The provider's authorized official is Kerri Howerton .
The authorized official title is Owner and has the following contact phone number (816) 809-1619.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 2/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2012024639MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P44000004MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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