Organization
WOMACK CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDY JANELL NICKELS-JOHNSON D.C. (CHIROPRACTOR/OWNER)
(417) 967-4606
Entity
Organization
Contact information
Practice address
118 W. MAIN ST., HOUSTON, MO 65483
(417) 967-4606
(417) 967-5915
Mailing address
PO BOX 17, 118 W. MAIN ST, HOUSTON, MO 65483
(417) 967-4606
(417) 967-5915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE004121
MO
Other
Enumeration date
02/10/2009
Last updated
10/13/2014
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