Healthcare Provider Details

I. General information

NPI: 1700072188
Provider Name (Legal Business Name): HURST CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 N MAIN ST STE B
HUTCHINSON KS
67502-3650
US

IV. Provider business mailing address

2420 N MAIN ST STE B
HUTCHINSON KS
67502-3650
US

V. Phone/Fax

Practice location:
  • Phone: 620-662-6607
  • Fax: 620-662-6850
Mailing address:
  • Phone: 620-662-6607
  • Fax: 620-662-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberC3327
License Number StateKS

VIII. Authorized Official

Name: DR. DANIEL FRANK HURST
Title or Position: OWNER
Credential: D C
Phone: 620-662-6607