# GRAIN VALLEY CENTER FOR FUNCTIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134782915
- **Authorized official:** DR. SUSAN M ANSCHUTZ DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (816) 519-2930

## Contact information

- **Practice address:** 203 S MAIN ST STE D, GRAIN VALLEY, MO 64029-9703
- **Practice address phone:** (816) 519-2930
- **Mailing address:** 203 S MAIN ST STE D, GRAIN VALLEY, MO 64029-9703
- **Mailing address phone:** (816) 519-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 04/17/2019