Provider Demographics
NPI:1457940967
Name:HUMAN MOVEMENT CLINIC & CHIROPRACTIC
Entity Type:Organization
Organization Name:HUMAN MOVEMENT CLINIC & CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:AXMEAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-377-5743
Mailing Address - Street 1:1527 HOWELL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1527 HOWELL ST
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3900
Practice Address - Country:US
Practice Address - Phone:816-377-5743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty