Healthcare Provider Details

I. General information

NPI: 1265380968
Provider Name (Legal Business Name): POTENS WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 NE KENDALLWOOD PKWY STE 3
GLADSTONE MO
64119-2026
US

IV. Provider business mailing address

2800 NE KENDALLWOOD PKWY STE 3
GLADSTONE MO
64119-2026
US

V. Phone/Fax

Practice location:
  • Phone: 816-396-7397
  • Fax: 816-207-0735
Mailing address:
  • Phone: 816-396-7397
  • Fax: 816-207-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TIARA MARGARET SCHMIDT
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 308-340-1771