Organization
LIVING BALANCE CHIROPRACTIC & ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HICKMAN DC (OWNER)
(816) 863-7177
Entity
Organization
Contact information
Practice address
5910 NW 63RD TER, KANSAS CITY, MO 64151-3319
(816) 216-1218
(816) 216-1633
Mailing address
5910 NW 63RD TER, KANSAS CITY, MO 64151-3319
(816) 216-1218
(816) 216-1633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20103004098
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA4440
PTAN
MO
Enumeration date
02/12/2013
Last updated
10/29/2013
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