Provider Demographics
NPI:1164739744
Name:PYLE CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:PYLE CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-632-5577
Mailing Address - Street 1:720 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLAY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67432
Mailing Address - Country:US
Mailing Address - Phone:785-632-5577
Mailing Address - Fax:785-632-5057
Practice Address - Street 1:720 6TH ST
Practice Address - Street 2:
Practice Address - City:CLAY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67432
Practice Address - Country:US
Practice Address - Phone:785-632-5577
Practice Address - Fax:785-632-5057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty