MEDICARE: HEALING WELL CHIROPRACTIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2005022241	MO

General Provider Information

NPI Number	:	1730115874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING WELL CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	125 NE 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3329
Country	:	US
Telephone Number	:	816-436-7500
Fax Number	:	816-436-7501

Provider Business Practice Location Address
First Line	:	125 NE 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3329
Country	:	US
Telephone Number	:	816-436-7500
Fax Number	:	816-436-7501

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DR. KRISTINE MICHELE STROUF
Credential	:	D.C.
Telephone Number	:	816-436-7500

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	11/03/2014

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