MANUAL THERAPY CENTER, LLC (NPI# 1437194925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437194925 |
| Entity Type | Organization |
| Organization Name | MANUAL THERAPY CENTER, LLC |
| Practice Address |
19401 E Us Highway 40 Suite 200 Independence MO 64055-5451 |
| Practice Telephone | 8163500515 |
| Practice Fax Number | 8163500516 |
| Mailing Telephone | 8163500515 |
| Mailing Fax Number | 8163500516 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | DR. DOUGLAS M. KELLING IV (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8163500515 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
19401 E US HIGHWAY 40 SUITE 200 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908042 | The Arc of The Ozarks | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19401 E Us Highway 40, Suite 110, Independence, MO 64055-5451 | 2017-05-04 |
| 1437523370 | Blessed Trinity Hospice, Inc. | Hospice Care, Community Based | 19401 E Us Highway 40, Ste 152, Independence, MO 64055-5451 | 2015-11-16 |
| 1467726935 | Midwest Wound Care,llc | Emergency Medicine | 19401 E Us Highway 40, Suite 200, Independence, MO 64055-5451 | 2012-03-01 |
| 1083908255 | Kyle Coleman Kepler | Dentist | 19401 E Us Highway 40, Independence, MO 64055-5451 | 2011-06-06 |
| 1154544336 | Dana Laurie Shafer | Social Worker | 19401 E Us Highway 40, Suite 140, Independence, MO 64055-5450 | 2007-04-10 |
| 1235265760 | Lisa Prosser-dodds | Counselor | 19401 E Us Highway 40, Ste 140, Independence, MO 64055-5450 | 2007-02-26 |
| 1861563231 | Rochelle Deann Walsh | Social Worker | 19401 E Us Highway 40, Suite 140, Independence, MO 64055-5450 | 2006-11-10 |
| 1013096619 | Hill and Associates PC | Psychologist | 19401 E Us Highway 40, Ste 150, Independence, MO 64055-5450 | 2006-11-03 |
| 1982624995 | Charles Lee | Dentist | 19401 E Us Highway 40, Suite 180, Independence, MO 64055-5450 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992884217 | Lordex Spine Center of Columbia P.C. | Neuromusculoskeletal Medicine, Sports Medicine | 3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720 | 2006-11-06 |
| 1790728632 | Cyd Charisse Thomas Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2310 Hwy 94 South Outer Road, Saint Charles, MO 63303-2104 | 2006-06-14 |
| 1255811337 | Institute for Regenerative Meidicine LLC | Neuromusculoskeletal Medicine, Sports Medicine | 7721 Clayton Rd, Clayton, MO 63117-1301 | 2018-08-17 |
| 1609021104 | Stephen Russell Bergman | Neuromusculoskeletal Medicine, Sports Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2008-11-25 |
| 1144339334 | Athletics Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-30 |
| 1033130588 | Jay Noffsinger | Neuromusculoskeletal Medicine, Sports Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-07-21 |
| 1497720825 | George Arthur Paletta Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| 1215902648 | Lyndon Bernard Gross | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on MANUAL THERAPY CENTER, LLC.
| 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.