Provider Demographics
NPI:1023219011
Name:FARR CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:FARR CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWMER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:FARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-486-2171
Mailing Address - Street 1:120 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HORTON
Mailing Address - State:KS
Mailing Address - Zip Code:66439-1211
Mailing Address - Country:US
Mailing Address - Phone:785-486-2171
Mailing Address - Fax:
Practice Address - Street 1:120 W 18TH ST
Practice Address - Street 2:
Practice Address - City:HORTON
Practice Address - State:KS
Practice Address - Zip Code:66439-1211
Practice Address - Country:US
Practice Address - Phone:785-486-2171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-3839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty