NPI | 1417384389 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE DENISE FUNKE Authorized Official 563-451-3270 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007589) |
Enumeration Date | 2013-10-08 |
Last Update Date | 2013-10-08 |