IndividualActive
Jesse Walden, D.C.
NPI 1578719340 · Sports Physician Chiropractor · Shawnee, KS
Provider details
- NPI number
- 1578719340
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01-05054 (KS)
Specialties & taxonomies
Chiropractic Providers
Practice location
11652 W. 75 St.
Shawnee, KS 66214
Phone: (913) 825-1235
Approximate (ZIP-level) locationGet directions
Mailing address
11652 W 75th St
Shawnee, KS 66214-1372
Registry dates
- Enumerated
- 2008-08-13
- Last updated
- 2008-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.