Healthcare Provider Details

I. General information

NPI: 1679490486
Provider Name (Legal Business Name): PHOENIX HEALTH & PERFORMANCE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 E MAPLEWOOD LN
RAYMORE MO
64083-8732
US

IV. Provider business mailing address

204 E MAPLEWOOD LN
RAYMORE MO
64083-8732
US

V. Phone/Fax

Practice location:
  • Phone: 971-336-6366
  • Fax:
Mailing address:
  • Phone: 971-336-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: VICTOR V KUTSAR
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 971-336-6366