| NPI | 1760444053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT MATTHEW MISKIMEN Owner President 319-261-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06553) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-11-02 |