Restoration Chiropractic Llc | |
8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | |
(316) 444-0168 | |
Not Available |
Full Name | Restoration Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 8641 W 13th St N Ste 107, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386201952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jessica Ann Marie Gault |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316503691 PECOS PAC ID: 7416286885 Enrollment ID: I20190910002669 |
Provider Name | Grady Ray Goff |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992361281 PECOS PAC ID: 1951630326 Enrollment ID: I20190910002745 |
Mailing Address | Practice Location Address |
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Restoration Chiropractic Llc 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 Ph: (316) 444-0168 | Restoration Chiropractic Llc 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 Ph: (316) 444-0168 |
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