MEDICARE: PHILIP EUGENE GASTL II

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	2025053769	MO

General Provider Information

NPI Number	:	1841153582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP EUGENE GASTL II

Provider Business Mailing Address
First Line	:	934 WYANDOTTE ST APT 501
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64105-1646
Country	:	US
Telephone Number	:
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	:	913-523-5022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	01/28/2026

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Directions to “ PHILIP EUGENE GASTL II ” Practice Location

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