| NPI | 1750634481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DANIEL WOMBOLDT Chiropractor 563-265-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007584) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2022-07-12 |