Healthcare Provider Details

I. General information

NPI: 1962837427
Provider Name (Legal Business Name): CHRISTINA MARIE WOODLE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
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 TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-05575
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number01-05575
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: