Rustici Wellness Center Llc

NPI 1154755585 - Chiropractor - 111N00000X

NPI Details
NPI 1154755585
Enumeration Date 08/21/2013
Last Updated 08/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WADE A WADE
Position CO-OWNER
Phone (816) 623-3001
Fax (816) 623-3011
Practice Location
3552 SW MARKET ST
LEES SUMMIT MO, 64082-2327, US
Phone (816) 623-3001
Fax (816) 623-3011
Business Location
3552 SW MARKET ST
LEES SUMMIT MO, 64082-2327, US
Phone (816) 623-3001
Fax (816) 623-3011
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 2000161199
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According to our database, Rustici Wellness Center Llc NPI is 1154755585, taxonomy code is 111N00000X and license number is 2000161199, license state is located at Missouri. Rustici Wellness Center Llc physically located at 3552 Sw Market St, Lees Summit MO, 64082-2327. NPI Number 1033115704 has the healthcare provider type.

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1154755585 NPI number is provided on an as is basis without warranty of any kind. 1154755585 is maintained by the National Plan & Provider Enumeration System. The contents of Rustici Wellness Center Llc are for informational purposes only.