Organization
CREATIVE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E MARTIN D.C.,N.D. (DOCTOR)
(816) 942-4700
Entity
Organization
Contact information
Practice address
544 E 99TH ST, KANSAS CITY, MO 64131-4203
(816) 942-4700
Mailing address
544 E 99TH ST, KANSAS CITY, MO 64131-4203
(816) 942-4700
Taxonomy
Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
006799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000B397
MEDICARE LEGACY
MO
Enumeration date
10/17/2006
Last updated
10/09/2007
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