| NPI | 1497131007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GLENN Co Owner 515-964-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IA 007738) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |