Healthcare Provider Details

I. General information

NPI: 1659207751
Provider Name (Legal Business Name): MOMMY & ME CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 NE RICE RD
LEES SUMMIT MO
64086-5540
US

IV. Provider business mailing address

811 NE RICE RD
LEES SUMMIT MO
64086-5540
US

V. Phone/Fax

Practice location:
  • Phone: 816-552-5900
  • Fax: 816-552-5901
Mailing address:
  • Phone: 816-552-5900
  • Fax: 816-552-5901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA WOODLE
Title or Position: OWNER, PRACTITIONER
Credential: DC
Phone: 816-552-5900