Organization
JOHNSON CHIROPRACTIC & HOLISTIC HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KODY RAY JOHNSON D.C. (SOLE MEMBER)
(573) 447-0841
Entity
Organization
Contact information
Practice address
1109 CLUB VILLAGE DR, SUITE #104, COLUMBIA, MO 65203-4466
(573) 447-0841
Mailing address
1109 CLUB VILLAGE DR, SUITE #104, COLUMBIA, MO 65203-4466
(573) 447-0841
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007034175
MO
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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