| NPI | 1154744688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DEE KING Owner 563-639-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007676) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4956-12) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |