Provider Demographics
NPI:1639868409
Name:NATURE'S REMEDY CHIROPRACTIC AND WELLNESS LLC
Entity Type:Organization
Organization Name:NATURE'S REMEDY CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:N
Authorized Official - Last Name:VANDE LINDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-205-1108
Mailing Address - Street 1:5100 S MAIN AVE APT A105
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65810-7801
Mailing Address - Country:US
Mailing Address - Phone:913-205-1108
Mailing Address - Fax:
Practice Address - Street 1:112 W BROADWAY SUITE A
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613
Practice Address - Country:US
Practice Address - Phone:913-205-1108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty