Organization
INTEGRATED MEDICAL PROVIDERS
Active
Other names
Advanced Wellness and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DAVIS (ADMINISTRATOR)
(316) 942-5335
Entity
Organization
Contact information
Practice address
2020 N TYLER RD STE 112, WICHITA, KS 67212-4916
(316) 942-5335
Mailing address
2020 N TYLER RD STE 112, WICHITA, KS 67212-4916
(316) 942-5335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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