Organization
BACK IN LINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DAVID DELANEY D.C. (OWNER)
(913) 845-9000
Entity
Organization
Contact information
Practice address
307 RIDGE ST, SUITE 104, TONGANOXIE, KS 66086-9304
(913) 845-9000
Mailing address
307 RIDGE ST, SUITE 104, TONGANOXIE, KS 66086-9304
(913) 845-9000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05269
KS
Other
Enumeration date
07/15/2009
Last updated
08/07/2009
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