Provider Demographics
NPI:1538305453
Name:HOUCHINS, CYNTHIA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:HOUCHINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:HOUCHINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:114 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-2400
Mailing Address - Country:US
Mailing Address - Phone:979-733-3733
Mailing Address - Fax:816-331-8905
Practice Address - Street 1:114 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-2400
Practice Address - Country:US
Practice Address - Phone:816-331-8900
Practice Address - Fax:816-331-8905
Is Sole Proprietor?:No
Enumeration Date:2008-12-23
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012040982111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition