| NPI | 1538204425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY MARIE SKAHILL Clinic Director 563-359-1985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208D00000X General Practice | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-01-31 |