Healthcare Provider Details
I. General information
NPI: 1417070012
Provider Name (Legal Business Name): INTEGRITY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
714 SE 3RD ST
LEES SUMMIT MO
64063-2815
US
IV. Provider business mailing address
714 SE 3RD ST
LEES SUMMIT MO
64063-2815
US
V. Phone/Fax
- Phone: 816-524-1212
- Fax:
- Phone: 816-524-1212
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 3878 |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
ARTHUR
RAY
TURNER
Title or Position: OWNER
Credential: D.C.
Phone: 816-524-1212