Healthcare Provider Details

I. General information

NPI: 1285372854
Provider Name (Legal Business Name): CORPS CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 TOPEKA AVE
LYNDON KS
66451-9792
US

IV. Provider business mailing address

322 S 12TH ST
OSAGE CITY KS
66523-1646
US

V. Phone/Fax

Practice location:
  • Phone: 785-241-4220
  • Fax:
Mailing address:
  • Phone: 785-241-4220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRAEDEN DALE MURPHY
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 785-241-4220