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Organization

PHILLIPS CHIROPRACTIC, PA

Active
Parent organization
PHILLIPS CHIROPRACTIC, PA
Other names
PT Works
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHILLIPS CHIROPRACTIC, PA
Authorized official
DR. JAMMIE D PHILLIPS D.C. (PRESIDENT)
(620) 225-4139
Entity
Organization

Contact information

Practice address
1909 N 14TH AVE, SUITE C, DODGE CITY, KS 67801-2364
(620) 338-8633
(620) 338-8121
Mailing address
1909 N 14TH AVE, SUITE C, DODGE CITY, KS 67801-2364
(620) 338-8633
(620) 338-8121

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04908
261QP2000X
Physical Therapy Clinic/Center
11-03352
KS
261QP2000X
Physical Therapy Clinic/Center
11-04738
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200631040A
KS
Enumeration date
01/27/2012
Last updated
09/14/2016
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