NPI | 1164822698 |
---|---|
Doing Business As | PINNACLE SPORT & SPINE CLINIC |
Entity Type | Organization |
Authorized Contact | REESE R. PETERSEN Owner/Practitioner 563-289-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2014-09-03 |
Last Update Date | 2019-07-19 |