Organization
FIT MUSCLE & JOINT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MILLER LANE DC (OWNER)
(913) 745-4064
Entity
Organization
Contact information
Practice address
401 NW MURRAY RD, LEES SUMMIT, MO 64081-1425
(816) 944-4244
Mailing address
22120 MIDLAND DR STE 1, SHAWNEE, KS 66226-3554
(913) 745-4064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
09/27/2022
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