Organization
IDENTITY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA FRANCES PHILLIPS DC (CO-OWNER)
(913) 387-4921
Entity
Organization
Contact information
Practice address
10410 MASTIN ST, OVERLAND PARK, KS 66212-5701
(913) 387-4921
Mailing address
10410 MASTIN ST, OVERLAND PARK, KS 66212-5701
(913) 387-4921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05860
KS
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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