Organization
BRAKE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN JACOB BRAKE D.C. (CHIROPRACTOR)
(785) 218-8539
Entity
Organization
Contact information
Practice address
3120 MESA WAY, SUITE A, LAWRENCE, KS 66049-4200
(785) 842-7325
(785) 842-7329
Mailing address
2300 WAKARUSA DR, APT G6, LAWRENCE, KS 66047-3353
(785) 218-8539
(785) 842-7329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05351
KS
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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