MEDICARE: PRIME MOVEMENT CHIROPRACTIC & REHAB, 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	:	1528917499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME MOVEMENT CHIROPRACTIC & REHAB, LLC

Provider Business Mailing Address
First Line	:	7611 STATE LINE RD STE 130
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1696
Country	:	US
Telephone Number	:	816-226-8582
Fax Number	:

Provider Business Practice Location Address
First Line	:	7611 STATE LINE RD STE 130
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-1696
Country	:	US
Telephone Number	:	816-226-8582
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PHILIP GASTL II
Credential	:	DC
Telephone Number	:	913-523-5022

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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