Healthcare Provider Details

I. General information

NPI: 1548145543
Provider Name (Legal Business Name): LEVI STEVEN OLSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 CONGRESS AVE STE 2201
BOCA RATON FL
33487-1361
US

IV. Provider business mailing address

729 N 279TH ST W
GARDEN PLAIN KS
67050-9066
US

V. Phone/Fax

Practice location:
  • Phone: 561-409-1488
  • Fax:
Mailing address:
  • Phone: 316-866-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH15800
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06416
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: