Provider Demographics
NPI:1154292795
Name:LIVING GARDEN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LIVING GARDEN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-979-6252
Mailing Address - Street 1:631 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-2225
Mailing Address - Country:US
Mailing Address - Phone:785-979-6252
Mailing Address - Fax:
Practice Address - Street 1:1503 S US HIGHWAY 169 STE C
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089-8350
Practice Address - Country:US
Practice Address - Phone:785-979-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty