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Dr. Bennett Micah Wyllie
Chiropractor in Gladstone, Missouri
NPI 1588001358

Bennett Micah Wyllie is a Chiropractor based in Gladstone, MO. Bennett Micah Wyllie practices in Gladstone, MO. The NPI Number for Bennett Micah Wyllie is 1588001358 and holds a License No. 2013013255 (Missouri).

The current practice location address for Bennett Micah Wyllie is 305 Nw Englewood Ct, Gladstone, MO and can be reached out via phone at 816-454-5433 and via fax at 816-454-8455.

Location: 305 Nw Englewood Ct, Gladstone, MO, 64118-4072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588001358
Provider Name
Bennett Micah Wyllie
Credential
Provider Entity Type
Individual
Gender
Male
Address
305 Nw Englewood Ct, Gladstone, MO, 64118-4072
Phone Number
816-454-5433
Fax Number
816-454-8455
Provider Enumeration Date
06/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 Nw Englewood Ct
City
Gladstone
State
Missouri
Zip
64118-4072
Phone Number
816-454-5433
Fax Number
816-454-8455
person
Provider Business Mailing Address Details
Address
305 Nw Englewood Ct
City
Gladstone
State
Missouri
Zip
64118-4072
Phone Number
816-454-5433
Fax Number
816-454-8455
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2013013255 (Missouri)
Definition
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.
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