| NPI | 1396987269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALORIE J. PRAHL CEO, Registered Agent 319-558-6023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 05094) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IA 05094) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |