Provider Demographics
NPI:1518570530
Name:WALTER CHIROPRACTIC & WELLNESS LLC
Entity Type:Organization
Organization Name:WALTER CHIROPRACTIC & WELLNESS LLC
Other - Org Name:LIVING WELL CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-681-9355
Mailing Address - Street 1:7439 W 161ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8854
Mailing Address - Country:US
Mailing Address - Phone:913-681-9355
Mailing Address - Fax:
Practice Address - Street 1:7439 W 161ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-8854
Practice Address - Country:US
Practice Address - Phone:913-681-9355
Practice Address - Fax:913-499-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty