Organization
ISOM CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA MICHAERL ISOM DC (PROVIDER)
(913) 735-9565
Entity
Organization
Contact information
Practice address
10942 W 74TH TER, SHAWNEE, KS 66203-4420
(913) 735-9565
(913) 273-0009
Mailing address
8145 RENNER RD APT 3, LENEXA, KS 66219-8012
(913) 735-9565
(913) 273-0009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05696
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-05696
CHIROPRACTIC LICENSE
KS
Enumeration date
08/31/2018
Last updated
07/02/2022
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