Organization
EVERGREEN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY NICOLE WRISINGER DC (OWNER/CHIROPRACTOR)
(314) 920-9099
Entity
Organization
Contact information
Practice address
302 SE INDEPENDENCE AVE, LEES SUMMIT, MO 64063-2828
(816) 867-0992
Mailing address
302 SE INDEPENDENCE AVE, LEES SUMMIT, MO 64063-2828
(816) 867-0992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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