Provider Demographics
NPI:1134864226
Name:COMPASS CHIROPRACTIC AND ACUPUNCTURE LLC
Entity type:Organization
Organization Name:COMPASS CHIROPRACTIC AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BOECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-645-0285
Mailing Address - Street 1:1620 LOCUST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1475
Mailing Address - Country:US
Mailing Address - Phone:816-363-3500
Mailing Address - Fax:
Practice Address - Street 1:1620 LOCUST ST STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1475
Practice Address - Country:US
Practice Address - Phone:816-363-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty