| NPI | 1013220870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ROBERT THOMPSON Owner 319-354-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IA 007143) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |