Organization
MANUAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS M. KELLING IV D.O. (PHYSICIAN/MEDICAL DIRECTOR)
(816) 350-0515
Entity
Organization
Contact information
Practice address
19401 E US HIGHWAY 40, SUITE 200, INDEPENDENCE, MO 64055-5451
(816) 350-0515
(816) 350-0516
Mailing address
19401 E US HIGHWAY 40, SUITE 200, INDEPENDENCE, MO 64055-5451
(816) 350-0515
(816) 350-0516
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
04/20/2012
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