Individual
KATIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
211 N MASON ST, CARROLLTON, MO 64633-2160
(816) 376-0049
Mailing address
211 N MASON ST, CARROLLTON, MO 64633-2160
(816) 376-0049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024000508
MO
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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