| NPI | 1679118046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY M SKAHILL Clinic Director 563-359-1985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |