Organization
NORTHLAND SPINE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE MITCHELL OVERLY D.C. (OWNER)
(816) 569-5079
Entity
Organization
Contact information
Practice address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Mailing address
8002 N OAK TRFY, SUITE 112, KANSAS CITY, MO 64118-1268
(816) 569-5079
(816) 569-5298
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009013598
MO
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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