Organization
GREENE-DAVIS ENTERPRISES, LLC
Active
Other names
Low Back Solution
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SMITH GREENE DC (PRESIDENT/PARTNER)
(816) 228-5179
Entity
Organization
Contact information
Practice address
1200 NW SOUTH OUTER RD, SUITE 116, BLUE SPRINGS, MO 64015-3072
(816) 228-5179
(816) 246-4884
Mailing address
1200 NW SOUTH OUTER RD, SUITE 116, BLUE SPRINGS, MO 64015-3072
(816) 228-5179
(816) 246-4884
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
CE004130
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08608428
DME
MO
Enumeration date
10/10/2006
Last updated
01/31/2008
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