Provider Demographics
NPI:1063656833
Name:SPEER, GERRAD ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:GERRAD
Middle Name:ALLEN
Last Name:SPEER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 VINE STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1904
Mailing Address - Country:US
Mailing Address - Phone:785-628-2105
Mailing Address - Fax:
Practice Address - Street 1:520 W MILL ST
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:KS
Practice Address - Zip Code:67663-2200
Practice Address - Country:US
Practice Address - Phone:785-688-4277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0105253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KA1712004Medicare PIN