Organization
LEGACY CHIROPRACTIC & WELLNESS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SHIVELY (PRESIDENT)
(785) 224-8801
Entity
Organization
Contact information
Practice address
2400 SW 29TH ST STE 231, TOPEKA, KS 66611-1738
(785) 224-8801
Mailing address
2400 SW 29TH ST STE 231, TOPEKA, KS 66611-1738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05503
KS
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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