Organization
FUNCTIONAL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WATERS DC (OWNER)
(816) 605-4926
Entity
Organization
Contact information
Practice address
5722 N BROADWAY ST STE E, KANSAS CITY, MO 64118-3997
(816) 605-4926
(855) 581-9563
Mailing address
5722 N BROADWAY ST STE E, KANSAS CITY, MO 64118-3997
(816) 605-4926
(855) 581-9563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
02/21/2023
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