Healthcare Provider Details

I. General information

NPI: 1487078598
Provider Name (Legal Business Name): ALISON ANSTAETT DC, CACCP, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10525 N AMBASSADOR DR STE 101
KANSAS CITY MO
64153-1225
US

IV. Provider business mailing address

13590 NW 72ND ST
PARKVILLE MO
64152-1119
US

V. Phone/Fax

Practice location:
  • Phone: 816-429-3169
  • Fax: 816-207-0627
Mailing address:
  • Phone: 816-429-3169
  • Fax: 816-207-0627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2014021682
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-323409
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: