Healthcare Provider Details

I. General information

NPI: 1568326627
Provider Name (Legal Business Name): BEECH SPINE AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 N ROCK RD STE A-2
WICHITA KS
67226-1375
US

IV. Provider business mailing address

3300 N ROCK RD STE A-2
WICHITA KS
67226-1375
US

V. Phone/Fax

Practice location:
  • Phone: 316-685-9641
  • Fax: 316-315-0267
Mailing address:
  • Phone: 316-685-9641
  • Fax: 316-315-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER BEECH
Title or Position: OWNER
Credential: DC
Phone: 316-685-9641