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Organization
NORTHLAND SPINE AND REHABILITATION, LLC
Active
Organization
NORTHLAND SPINE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE MITCHELL OVERLY D.C. (OWNER)
(816) 569-5079
Entity
Organization
Contact information
Practice address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Mailing address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009013598
MO
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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