MEDICARE: UNIVERSAL LIFE CHURCH INC.

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	173C00000X	Reflexologist	CERT.#PS-000289	CO

General Provider Information

NPI Number	:	1720238256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL LIFE CHURCH INC.

Provider Business Mailing Address
First Line	:	PO BOX 172149
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66117-1149
Country	:	US
Telephone Number	:	913-400-1822
Fax Number	:	913-371-0493

Provider Business Practice Location Address
First Line	:	1121 QUINDARO BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66104-5331
Country	:	US
Telephone Number	:	913-400-1822
Fax Number	:	913-371-0493

Authorized Official
Title or Position	:	REFLEXOLOGIST
Name	:	MR. LESLIE GOOLEY
Credential	:	CERTIFIED
Telephone Number	:	913-375-2503

Provider Enumeration Date	:	09/20/2008
Last Update Date	:	11/17/2009

Similar Medicare Providers

1417054362 — MR. MARVIN LYNELL MCINTOSH MD
Practice Location Address:

1121 QUINDARO BLVD
KANSAS CITY, KS
66104-5331

Practice Phone: 913-233-1733
Practice Fax: 913-233-0055

1891901054 — COMMUNITY HOUSE OF WELLNESS
Practice Location Address:

1121 QUINDARO BLVD
KANSAS CITY, KS
66104-5331

Practice Phone: 913-233-1733
Practice Fax: 913-233-0055

1447400973 — MR. LESLIE GOOLEY CERT. REFLEXOLOGIST
Practice Location Address:

1121 QUINDARO BLVD
KANSAS CITY, KS
66104-5331

Practice Phone: 913-375-2503
Practice Fax: 913-371-0493

1831200419 — E-Z MOBILITY CO
Practice Location Address:

4506 NW 50TH ST
OKLAHOMA CITY, OK
73122-5331

Practice Phone: 405-495-5678
Practice Fax: 405-789-6543

1316085509 — BOONCHAI CORPORATION
Practice Location Address:

12025 LAKE CITY WAY NE STE B
SEATTLE, WA
98125-5331

Practice Phone: 206-289-0303
Practice Fax:

1508905720 — MR. BENJAMIN BOONCHAI APICHAI EAMP
Practice Location Address:

12025 LAKE CITY WAY NE STE B
SEATTLE, WA
98125-5331

Practice Phone: 206-289-0303
Practice Fax:

Directions to “UNIVERSAL LIFE CHURCH INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.