Provider Demographics
NPI:1356640999
Name:WELLNESS WITHIN CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:WELLNESS WITHIN CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SALLEE, DC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-953-7411
Mailing Address - Street 1:6885 W 151ST ST
Mailing Address - Street 2:102
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2507
Mailing Address - Country:US
Mailing Address - Phone:913-953-7411
Mailing Address - Fax:913-912-1485
Practice Address - Street 1:6885 W 151ST ST
Practice Address - Street 2:102
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2507
Practice Address - Country:US
Practice Address - Phone:913-953-7411
Practice Address - Fax:913-912-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05368261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care