Organization
PECULIAR FAMILY CHIROPRACTIC & SPORTS MEDICINE,
Active
Other names
Parsons Chiropractic and Sp Me Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THAYER BANWART DC (OWNER)
(913) 602-2866
Entity
Organization
Contact information
Practice address
201 S STATE ROUTE C, PECULIAR, MO 64078-9729
(816) 779-1022
Mailing address
201 S STATE ROUTE C, PECULIAR, MO 64078-9729
(816) 779-1022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912577461
TYPE 2 ORGANIZATION NPI
MO
Enumeration date
06/28/2021
Last updated
11/15/2022
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