Mary Jo Wiley Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2010007855 Issued in MO

Legal business name

MARY JO WILEY CHIROPRACTIC LLC

Doing business as

Revma Health Center

Practice address

10001 E 67TH St
Raytown, MO 64133-5218

Phone

(816) 237-0102

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jo Wiley, D.C.

Title

Owner

Phone

(816) 237-0102

Specialties & licenses 1

Addresses

Other names 1

• Revma Health Center Doing business as

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1326341637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 E 67TH ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335218",
            "telephone_number": "816-237-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 E 67TH ST",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335218",
            "telephone_number": "816-237-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JO WILEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-237-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010007855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revma Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy Lucero
• Olivia Luelf
• Tawny Marrs, LPN
• Jackie Marsh
• Leslie Marsh I, PHARMD
• Heather Mason
• Keshia May, LPN IV CERT
• Wendy McGee, CCC-SLP
• Hannah McGehee, OTR/L
• Elizabeth McKerlie

• Chiropractor in Raytown, MO
• Providers in Raytown, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.