NPI | 1770225443 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW BENJAMIN DEWILD Owner 563-484-0550 |
Organization Subpart ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
Additional Taxonomies | 225700000X Massage Therapist |
1041C0700X Social Worker, Clinical | |
111N00000X Chiropractor | |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-04-12 |