Organization
ADVANCED SPORTS AND FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD MICHAEL WOODLE DC (PRESIDENT)
(913) 643-1771
Entity
Organization
Contact information
Practice address
12643 METCALF AVE, OVERLAND PARK, KS 66213-1317
(913) 643-1771
(913) 643-1775
Mailing address
12643 METCALF AVE, OVERLAND PARK, KS 66213-1317
(913) 643-1771
(913) 643-1775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105014
KS
Other
Enumeration date
05/09/2008
Last updated
05/22/2014
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