Provider Demographics
NPI:1306325204
Name:HARRIS, ALEESA (DC)
Entity type:Individual
Prefix:DR
First Name:ALEESA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10454 S RIDGEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6438
Mailing Address - Country:US
Mailing Address - Phone:913-689-2333
Mailing Address - Fax:139-689-2334
Practice Address - Street 1:10454 S RIDGEVIEW RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-6438
Practice Address - Country:US
Practice Address - Phone:913-689-2333
Practice Address - Fax:913-689-2334
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS01-05919OtherKANSAS