| NPI | 1780015024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MALMSTROM President 712-580-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007136) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 04383) |
| 111N00000X Chiropractor (Licence: IA A05252) | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2017-03-14 |