Organization
TRUE HEALTH PA
Active
Other names
Elite Physical Medicine PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRIN GULLEDGE DC (EXECUTIVE DIRECTOR)
(913) 338-1112
Entity
Organization
Contact information
Practice address
11879 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210
(913) 338-1112
(913) 338-2079
Mailing address
11879 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210
(913) 338-1112
(913) 338-2079
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
01-05085
KS
111N00000X
Chiropractor
01-05279
KS
111NR0400X
Rehabilitation Chiropractor
01-05280
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
48544
KS
208D00000X
General Practice Physician
0433452
KS
363A00000X
Physician Assistant
15-01680
KS
Other
Enumeration date
03/27/2014
Last updated
12/04/2015
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