Provider Demographics
NPI:1831910793
Name:SACRY, NADYA (DC)
Entity type:Individual
Prefix:MRS
First Name:NADYA
Middle Name:
Last Name:SACRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11353 SYCAMORE TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64134-3568
Mailing Address - Country:US
Mailing Address - Phone:406-539-0581
Mailing Address - Fax:
Practice Address - Street 1:241 SW NOEL ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2241
Practice Address - Country:US
Practice Address - Phone:816-226-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024033353111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor