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BACK TO LIFE CHIROPRACTIC AND ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN SIMPSON DC (OWNER)
(316) 247-5458
Entity
Organization

Contact information

Practice address
8526 W 13TH ST N STE 170, WICHITA, KS 67212-2990
(316) 247-5458
Mailing address
8526 W 13TH ST N STE 170, WICHITA, KS 67212-2990
(316) 247-5458

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05873
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104334325
NPI
Enumeration date
03/06/2018
Last updated
03/08/2018
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