AUTHENTIC LIFE
Organization (NPI-2)
Active
Chiropractor
Provider Information
- NPI Number
1437666914- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11960 WEST 119TH STREET, OVERLAND PARK, KS, 66213
- Phone
- (913) 563-4621
Specialties & Taxonomies
Chiropractor, Nutrition
License: KS #04640
Chiropractor
Primary License: KS #04604
All Addresses
MAILING
11960 WEST 119TH STREET
OVERLAND PARK, KS, 66213