Healthcare Provider Details

I. General information

NPI: 1609977032
Provider Name (Legal Business Name): DAGNEY LYNN STROMBERG D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAGNEY LYNN MOORE D.C.

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N SANTA FE AVE
SALINA KS
67401-2616
US

IV. Provider business mailing address

100 N SANTA FE AVE
SALINA KS
67401-2616
US

V. Phone/Fax

Practice location:
  • Phone: 785-404-6960
  • Fax: 785-404-6961
Mailing address:
  • Phone: 785-404-6960
  • Fax: 785-404-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-04572
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number01-04572
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: