Organization
AYH-MARYVILLE, LLC
Active
Other names
Activate Your Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHON COPPLE DC (OWNER)
(816) 676-9100
Entity
Organization
Contact information
Practice address
1315 S MAIN ST STE B, MARYVILLE, MO 64468-2720
(660) 224-0884
(660) 224-0853
Mailing address
707 N 36TH ST, SAINT JOSEPH, MO 64506-2975
(816) 676-9100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
11/07/2024
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