Organization
ACTIVE BODY CHIROPRACTIC & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI HOWERTON DC (OWNER)
(816) 809-1619
Entity
Organization
Contact information
Practice address
19101 E VALLEY VIEW PKWY STE J, INDEPENDENCE, MO 64055-6907
(816) 795-0300
Mailing address
19101 E VALLEY VIEW PKWY STE J, INDEPENDENCE, MO 64055-6907
(816) 795-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012024639
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P44000004
—
MO
Enumeration date
02/12/2013
Last updated
02/12/2013
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