Organization
RESTORATION CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY GOFF DC (OWNER/ CHIROPRACTOR)
(316) 444-0168
Entity
Organization
Contact information
Practice address
8641 W 13TH ST N STE 107, WICHITA, KS 67212-6280
(316) 444-0168
Mailing address
8641 W 13TH ST N STE 107, WICHITA, KS 67212-6280
(316) 444-0168
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
06/16/2021
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