Provider Demographics
NPI:1992186563
Name:KELSIE RASOR CHIROPRACTIC
Entity Type:Organization
Organization Name:KELSIE RASOR CHIROPRACTIC
Other - Org Name:RASOR CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELSIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RASOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-256-1455
Mailing Address - Street 1:917 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-2372
Mailing Address - Country:US
Mailing Address - Phone:417-256-1455
Mailing Address - Fax:
Practice Address - Street 1:917 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2372
Practice Address - Country:US
Practice Address - Phone:417-256-1455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty