Organization
TONGANOXIE CHIROPRACTIC AND SOFT TISSUE REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN WADE OLDS D.C. (MANAGING MEMBER)
(913) 845-9000
Entity
Organization
Contact information
Practice address
307 RIDGE ST, SUITE 104, TONGANOXIE, KS 66086-9304
(913) 845-9000
(913) 845-3305
Mailing address
307 RIDGE ST, SUITE 104, TONGANOXIE, KS 66086-9304
(913) 845-9000
(913) 845-3305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05423
KS
Other
Enumeration date
02/25/2012
Last updated
08/14/2012
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