Organization
BALANCED BODY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY B HURT D.C. (DOCTOR)
(816) 455-4444
Entity
Organization
Contact information
Practice address
4122 NE VIVION RD, KANSAS CITY, MO 64119-2811
(816) 453-3331
Mailing address
4122 NE VIVION RD, KANSAS CITY, MO 64119-2811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2014001827
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA5132
MEDICARE PTAN
MO
Enumeration date
07/23/2014
Last updated
12/01/2015
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