Healthcare Provider Details
I. General information
NPI: 1487530275
Provider Name (Legal Business Name): BURROW FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
627 NW MOCK AVE STE B
BLUE SPRINGS MO
64014-2417
US
IV. Provider business mailing address
627 NW MOCK AVE STE B
BLUE SPRINGS MO
64014-2417
US
V. Phone/Fax
- Phone: 816-944-1644
- Fax:
- Phone: 816-944-1644
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MATTHEW
TYLER
BURROW
Title or Position: BUSINESS OWNER
Credential: DC
Phone: 913-980-4678