Optimal Wellness | |
3017 N Cypress St Ste B, Wichita, KS 67226-4026 | |
(316) 425-1911 | |
Not Available |
Full Name | Optimal Wellness |
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Type | Facility |
Speciality | Chiropractor |
Location | 3017 N Cypress St Ste B, 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 |
---|---|---|---|
1518513043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Ryan Christopher Grenier |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508418914 PECOS PAC ID: 0042549602 Enrollment ID: I20190906000812 |
Mailing Address | Practice Location Address |
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Optimal Wellness 3017 N Cypress Drive, Suite B, Wichita, KS 67226-4026 Ph: (316) 425-1911 | Optimal Wellness 3017 N Cypress St Ste B, Wichita, KS 67226-4026 Ph: (316) 425-1911 |
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