ICT MUSCLE & JOINT CLINIC, LLC (NPI# 1417312075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417312075 |
| Entity Type | Organization |
| Organization Name | ICT MUSCLE & JOINT CLINIC, LLC |
| Practice Address |
7829 E Rockhill St 303 Wichita KS 67206-3920 |
| Practice Telephone | 3168543010 |
| Mailing Telephone | 3168543010 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | KEITH SPARKS (OWNER) |
| Authorized Official Telephone | 3168543010 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0105764 | KS | Chiropractic Providers |
| Street Address |
7829 E ROCKHILL ST 303 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919859 | Diagnostic Ultrasound Services, Inc. | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3914 | 2005-08-18 |
| 1538637566 | Samuel Joseph Reals | Chiropractor | 7829 E Rockhill St, Wichita, KS 67206 | 2018-11-07 |
| 1568902476 | Jennifer Lynn Lemons | Counselor | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2017-02-27 |
| 1467900894 | Kansas University School of Medicine - Wichita | Clinic/Center | 7829 E Rockhill St, Wichita, KS 67206-3920 | 2016-09-14 |
| 1619420718 | Phillip K Martin | Clinical Neuropsychologist | 7829 E Rockhill St, Attn: Credentialing, Wichita, KS 67206-3920 | 2016-07-26 |
| 1215397609 | Rachel Sparks | Chiropractor | 7829 E Rockhill St, 303, Wichita, KS 67206 | 2016-02-29 |
| 1649659467 | Keith Sparks | Chiropractor | 7829 E Rockhill St, Ste 303, Wichita, KS 67206-3914 | 2015-05-26 |
| 1972980555 | Logan Reich | Marriage & Family Therapist | 7829 E Rockhill St, Suite 105, Wichita, KS 67206-3920 | 2015-05-02 |
| 1710300884 | Breanna Burns | Marriage & Family Therapist | 7829 E Rockhill St, Suite 305, Wichita, KS 67206-3920 | 2014-01-27 |
| 1154680023 | Ryan Schroeder | Clinical Neuropsychologist | 7829 E Rockhill St, Ste. 105, Wichita, KS 67206-3920 | 2012-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652544 | Savannah Howell | Chiropractor | 2755 N Maize Rd Ste 107, Wichita, KS 67205-7327 | 2019-07-31 |
| 1508418914 | Ryan Grenier | Chiropractor | 3017 N Cypress St Ste B, Wichita, KS 67226-4026 | 2019-07-15 |
| 1316503691 | Jessica Ann Marie Gault | Chiropractor | 8641 W 13th St N Ste 107, Wichita, KS 67212-6280 | 2019-05-13 |
| 1972072064 | Boneworkz, LLC | Chiropractor | 211 S Tyler Rd, Wichita, KS 67209-1433 | 2018-11-19 |
| 1396248555 | Anthony Barta | Chiropractor | 8440 E 29th St N Ste 100, Wichita, KS 67226-3407 | 2018-03-14 |
| 1841790649 | Wichita Chiropractic and Physical Therapy Clinic Inc | Chiropractor | 125 S West St Ste 117, Wichita, KS 67213-2114 | 2018-02-19 |
| 1104334325 | Ryan M Simpson | Chiropractor | 8526 W 13th St N Ste 170, Wichita, KS 67212-2990 | 2018-01-22 |
| 1740796218 | Gawith Chiropractic LLC | Chiropractor | 2020 N Webb Rd Ste 102, Wichita, KS 67206-3408 | 2017-12-20 |
| 1326557075 | Stanley Chiropractic LLC | Chiropractor | 555 N Mclean Blvd Ste 302, Wichita, KS 67203-5815 | 2017-09-26 |
| 1932637154 | Dustin R Hague | Chiropractor | 2604 W 9th St N Ste 100, Wichita, KS 67203-4792 | 2017-06-01 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.