NPI | 1659762920 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY OSTERT Office Manager 563-652-5687 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 04417) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 06673) |
111N00000X Chiropractor (Licence: IA 007213) | |
Enumeration Date | 2015-02-09 |
Last Update Date | 2015-02-09 |