| NPI | 1235406273 |
|---|---|
| Doing Business As | ELLENSOHN, CHIROPRACTIC P.L.C. |
| Entity Type | Organization |
| Authorized Contact | KYLE MATTHEW ELLENSOHN Owner 641-342-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007424) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2014-11-25 |