Add Life Chiropractic & Wellness Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2002028005 Issued in MO

Legal business name

ADD LIFE CHIROPRACTIC & WELLNESS CENTER, INC

Practice address

1190 Highway KK
Osage Beach, MO 65065-3345

Phone

(573) 302-4444

Fax

(573) 302-7903

NPI assigned

Jun 20, 2007

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katy L Kautz, D.C.NPI 1063505543

Title

President

Phone

(573) 302-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katy L Kautz, D.C.

  • Chiropractor
  • Osage Beach, MO
  • NPI 1063505543
  Authorized official Same address or phone
• Karin Gwendolyn Burmeister, D.C.

  • Chiropractor
  • Camdenton, MO
  • NPI 1043240088
  NPD (past)
• Kelly Jay Kadolph, D.C.

  • Sports Physician Chiropractor
  • Bethany, MO
  • NPI 1639114366
  NPD (past)
• Amber De Ann Polson, D.C., M.S.

  • Chiropractor
  • Osage Beach, MO
  • NPI 1053630483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1174728950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 HIGHWAY KK",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653345",
            "telephone_number": "573-302-4444",
            "fax_number": "573-302-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 HIGHWAY KK",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653345",
            "telephone_number": "573-302-4444",
            "fax_number": "573-302-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADD LIFE CHIROPRACTIC & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "KAUTZ",
        "authorized_official_first_name": "KATY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-302-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002028005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Pauline Abbott, DO
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• Baron Scott Adkins, D.O.
• Ads Osage Beach LP
• Advanced Physical Therapy Solutions
• Advanced Radiology LLC
• Mona H. Afrassiab, DO

• Chiropractor in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.