Individual
DR. CHRISTINA R. CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.,B.S.
Contact information
Practice address
310 S LINCOLN AVE, RAYMORE, MO 64083-9762
(816) 718-0857
Mailing address
PO BOX 1352, 310 S. LINCOLN AVE, RAYMORE, MO 64083-1352
(816) 718-0857
(816) 318-8425
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
2005031368
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11516513
CAQH
MO
01
—
36497025
BCBS
MO
01
—
697680
ACN
MO
01
—
744328
HEALTHLINK
MO
Enumeration date
05/03/2006
Last updated
08/03/2009
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