Provider Demographics
NPI:1689232621
Name:HILT CHIROPRACTIC AND ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:HILT CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-429-7181
Mailing Address - Street 1:9255 NE 83RD TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-7155
Mailing Address - Country:US
Mailing Address - Phone:816-429-7181
Mailing Address - Fax:
Practice Address - Street 1:9255 NE 83RD TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-7155
Practice Address - Country:US
Practice Address - Phone:816-429-7181
Practice Address - Fax:816-429-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO230084333Medicaid