Organization
SPINE AND SPORTS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI NELSON (OWNER)
(785) 320-6935
Entity
Organization
Contact information
Practice address
8200 SOUTH PORT DR, MANHATTAN, KS 66502
(785) 320-6935
(816) 584-0453
Mailing address
8200 SOUTH PORT DR, MANHATTAN, KS 66502
(785) 320-6935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012001189
MO
Other
Enumeration date
01/12/2012
Last updated
12/27/2017
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