Healthcare Provider Details

I. General information

NPI: 1669321196
Provider Name (Legal Business Name): SYDNEY NICOLE FELIZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 N TWYMAN RD
INDEPENDENCE MO
64058-2092
US

IV. Provider business mailing address

2808 N TWYMAN RD
INDEPENDENCE MO
64058-2092
US

V. Phone/Fax

Practice location:
  • Phone: 816-832-3999
  • Fax:
Mailing address:
  • Phone: 816-832-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2026005097
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: