Provider Demographics
NPI:1982478277
Name:TORRES, SPENCER MORGAN (DC)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:MORGAN
Last Name:TORRES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 ENGLISH LANDING DR STE 230
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-5006
Mailing Address - Country:US
Mailing Address - Phone:620-200-3041
Mailing Address - Fax:
Practice Address - Street 1:173 ENGLISH LANDING DR STE 230
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-5006
Practice Address - Country:US
Practice Address - Phone:620-200-3041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016028591111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor