NPI | 1699854802 |
---|---|
Entity Type | Organization |
Authorized Contact | JANEEN K TAYLOR Billing 563-449-8153 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 04632) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05427) |
111N00000X Chiropractor (Licence: IA A05805) | |
111N00000X Chiropractor (Licence: IA 06839) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |