MEDICARE: MANGUS CHIROPRACTIC & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1508708561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANGUS CHIROPRACTIC & WELLNESS LLC

Provider Business Mailing Address
First Line	:	110 S CHESTNUT ST APT 1510
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-3505
Country	:	US
Telephone Number	:	402-920-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	8604 E 63RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64133-4725
Country	:	US
Telephone Number	:	913-308-0403
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COLT MANGUS
Credential	:	MANGUS
Telephone Number	:	402-920-2325

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “MANGUS CHIROPRACTIC & WELLNESS LLC ” Practice Location

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