NPI 1023709904

Colt Mangus, DC

Practitioner Chiropractor Lenexa, KS

Practice location

Address: 16966 City Center Dr, Lenexa, KS 66219-8201
Phone: (913) 308-0300
Mailing address: 2625 Butterfield Rd STE 301n, Oak Brook, IL 60523-1266

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 01-06252 (KS)

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Registry record

NPI: 1023709904
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2023
Record last updated: 19 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.