| NPI | 1154399939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY E PHIPPS Owner 641-752-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06761) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 02974) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |