| NPI | 1154021475 |
|---|---|
| Former Legal Business Name | INNOVE CHIRO AND REHAB, PLLC |
| Entity Type | Organization |
| Authorized Contact | BLAKE PENNOCK Owner 563-249-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |