Healthcare Provider Details

I. General information

NPI: 1558284026
Provider Name (Legal Business Name): SYDNEY LEA JANESKO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23122 W 46TH TER
SHAWNEE KS
66226-2413
US

IV. Provider business mailing address

23122 W 46TH TER
SHAWNEE KS
66226-2413
US

V. Phone/Fax

Practice location:
  • Phone: 913-283-4433
  • Fax:
Mailing address:
  • Phone: 913-283-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06492
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: