David Leyroy Liska, DC
Individual provider Active NPI Chiropractor · Lyons, KS
NPI 1386744381 · NPPES record last updated Oct 5, 2011
Key facts
- NPI
- 1386744381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 04803 (KS)
- Practice address
- 400 W Main St
Lyons, KS 67554-1819 - Phone
- (620) 257-2040
- Fax
- (620) 257-2038
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04803 | KS | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04803 | KS | Yes |
| Acupuncturist | 171100000X | 04803 | KS | |
| Physical Therapist | 225100000X | 04803 | KS | |
| Massage Therapist | 225700000X | 04803 | KS |
Addresses
Primary practice location
400 W Main St
Lyons, KS 67554-1819
Mailing address
400 W Main St
Lyons, KS 67554-1819
Phone (620) 257-2040
Other providers in Lyons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.