| NPI | 1578806543 |
|---|---|
| Doing Business As | GREAT RIVER CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SHANNON RACHELLE REIF Manager 319-754-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007541) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-11-14 |