| NPI | 1316310220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN THOMAS BROGHAMMER Owner/President 319-378-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007140) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |