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Organization

ALL SPINE CHIROPRACTIC AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALISSA RACHELLE GOULD (OWNER)
(316) 617-7348
Entity
Organization

Contact information

Practice address
5931 NIEMAN RD, SHAWNEE, KS 66203-2931
(316) 617-7348
Mailing address
5931 NIEMAN RD STE 100, SHAWNEE, KS 66203-2904
(913) 914-7090
(913) 391-6565

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-05964
KANSAS BOARD OF HEALING ARTS
KS
Enumeration date
09/20/2022
Last updated
03/18/2024
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