Individual
DR. CHRISTY GARDE BREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
412 NW MOCK AVE, STE A, BLUE SPRINGS, MO 64014-2511
(816) 224-3440
(816) 224-3442
Mailing address
412 NW MOCK AVE, STE A, BLUE SPRINGS, MO 64014-2511
(816) 224-3440
(816) 224-3442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006622
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26419029
BCBS PROVIDER NUMBER
MO
01
—
7081050
AETNA PROVIDER NUMBER
MO
Enumeration date
12/28/2006
Last updated
03/15/2011
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