Custom Chiropractic Center LLC

NPI #1659562148 in Shawnee Mission, Kansas

Provider Information

NPI Number: 1659562148
Entity Type: Organization
Organization Name: Custom Chiropractic Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 8, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 6220 ANTIOCH RD
Address 2: SUITE 200
City: Shawnee Mission
State: Kansas
ZIP Code: 66202-2866
Phone: (913) 722-1113

Authorized Official

Name: DR. ARVIL LONNIE RUDD, D.C.
Title: PRESIDENT
Phone: (913) 722-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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