Organization
REGENERATIVE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBYN RACHELLE DESAUTEL DC (OWNER)
(206) 313-2811
Entity
Organization
Contact information
Practice address
6850 HILLTOP RD STE 170, SHAWNEE, KS 66226-3562
(913) 440-4017
(913) 642-0653
Mailing address
5111 W 158TH TER, OVERLAND PARK, KS 66224-3896
(206) 313-2811
(913) 246-0653
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
163WX0800X
Orthopedic Registered Nurse
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/26/2019
Last updated
07/14/2020
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