Individual
TIFFANY POTERBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
13404A HOLMES RD, KANSAS CITY, MO 64145-1446
(816) 382-5586
Mailing address
13404A HOLMES RD, KANSAS CITY, MO 64145-1446
(816) 509-5009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012032774
MO
Other
Enumeration date
07/22/2014
Last updated
01/30/2018
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