NPI | 1134300247 |
---|---|
Entity Type | Organization |
Authorized Contact | MATT PATRICK FUELLING Owner/President 319-334-3214 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06269) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2007-11-16 |