Individual
MAIREAD SUTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
213 W MASON ST, ODESSA, MO 64076-1262
(660) 233-4076
Mailing address
3366 BLUE RIDGE BLVD, INDEPENDENCE, MO 64052-1068
(540) 671-3725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2026003810
MO
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/03/2019
Last updated
02/04/2026
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