Provider Demographics
NPI:1861848780
Name:NATURALLY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:NATURALLY CHIROPRACTIC, PC
Other - Org Name:NATURALLY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GODSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-846-5260
Mailing Address - Street 1:7276 S SEDALIA ST
Mailing Address - Street 2:
Mailing Address - City:FOXFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1643
Mailing Address - Country:US
Mailing Address - Phone:417-846-5260
Mailing Address - Fax:
Practice Address - Street 1:7276 S SEDALIA ST
Practice Address - Street 2:
Practice Address - City:FOXFIELD
Practice Address - State:CO
Practice Address - Zip Code:80016-1643
Practice Address - Country:US
Practice Address - Phone:417-846-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007439111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty