Rustici Wellness Center | |
2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 | |
(816) 745-4532 | |
(816) 295-9909 |
Full Name | Rustici Wellness Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 2307 Nw South Outer Rd Ste 101, Blue Springs, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154755585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2000161199 (Missouri) | Primary |
Provider Name | Wade A Rustici |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205940954 PECOS PAC ID: 6002900602 Enrollment ID: I20070913000163 |
Mailing Address | Practice Location Address |
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Rustici Wellness Center 2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 Ph: (816) 745-4532 | Rustici Wellness Center 2307 Nw South Outer Rd Ste 101, Blue Springs, MO 64015-1712 Ph: (816) 745-4532 |
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