Organization
CHIROPRACTIC HEALING & RESTORATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA MIDDENDORF D.C. (OWNER)
(816) 232-9437
Entity
Organization
Contact information
Practice address
1512 S 17TH ST, SAINT JOSEPH, MO 64503-2668
(816) 232-9437
Mailing address
1512 S 17TH ST, SAINT JOSEPH, MO 64503-2668
(816) 232-9437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011001547
MO
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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