Healthcare Provider Details

I. General information

NPI: 1760315220
Provider Name (Legal Business Name): ALIZE AMANDA TOVAR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 METCALF LN STE 100
OVERLAND PARK KS
66202-2339
US

IV. Provider business mailing address

1 RURAL ST
EMPORIA KS
66801-4252
US

V. Phone/Fax

Practice location:
  • Phone: 913-499-8103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06463
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: