Organization
LEATHERMAN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS LEATHERMAN DC (PRESIDENT)
(816) 637-5000
Entity
Organization
Contact information
Practice address
463 S THOMPSON AVE, EXCELSIOR SPRINGS, MO 64024-2133
(816) 637-5000
(816) 637-5370
Mailing address
463 S THOMPSON AVE, EXCELSIOR SPRINGS, MO 64024-2133
(816) 637-5000
(816) 637-5370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002020065
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689611964
INDIVIDUAL NPI
MO
Enumeration date
10/09/2007
Last updated
03/20/2008
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