Provider Demographics
NPI:1427451772
Name:TROTTER, ANTHONY H (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:H
Last Name:TROTTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10610 SHAWNEE MISSION PKWY
Mailing Address - Street 2:STE 210
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3501
Mailing Address - Country:US
Mailing Address - Phone:913-248-9500
Mailing Address - Fax:913-248-1212
Practice Address - Street 1:10610 SHAWNEE MISSION PKWY
Practice Address - Street 2:STE 210
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-3501
Practice Address - Country:US
Practice Address - Phone:913-248-9500
Practice Address - Fax:913-248-1212
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2018-12-10
Deactivation Date:2018-11-30
Deactivation Code:
Reactivation Date:2018-12-07
Provider Licenses
StateLicense IDTaxonomies
KS01-05835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor