Organization
SOUTHWEST CHIROPRACTIC AND WELLNESS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER R RIEDL D.C. (PRESIDENT/OWNER)
(620) 355-4116
Entity
Organization
Contact information
Practice address
306 W SANTA FE TRAIL BLVD, LAKIN, KS 67860-9454
(620) 355-4116
Mailing address
306 W SANTA FE TRAIL BLVD, LAKIN, KS 67860-9454
(620) 355-4116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05387
KS
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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