| NPI | 1649588500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DIETZ President/ Doctor 319-393-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06793) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.010487) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2025-08-05 |