Provider Demographics
NPI:1710572615
Name:GUTHRIE, DYLAN FREDERICK (DC)
Entity type:Individual
Prefix:
First Name:DYLAN
Middle Name:FREDERICK
Last Name:GUTHRIE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10717 N MANNING CT
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-1250
Mailing Address - Country:US
Mailing Address - Phone:816-813-0231
Mailing Address - Fax:
Practice Address - Street 1:1110 BRANCH ST
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-9714
Practice Address - Country:US
Practice Address - Phone:816-608-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021001020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor