Healthcare Provider Details

I. General information

NPI: 1114310638
Provider Name (Legal Business Name): MELISSA WINTERSCHEIDT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA CUTBURTH DC

II. Dates (important events)

Enumeration Date: 03/08/2015
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N RIDGE RD STE 5
WICHITA KS
67212-3367
US

IV. Provider business mailing address

10001 W 63RD ST S
CLEARWATER KS
67026-8940
US

V. Phone/Fax

Practice location:
  • Phone: 316-744-2001
  • Fax:
Mailing address:
  • Phone: 316-239-5869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05633
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: