NPI | 1780171959 |
---|---|
Doing Business As | PINNACLE SPORT & SPINE CLINIC |
Entity Type | Organization |
Authorized Contact | REESE RAYMOND PETERSEN Chairman/CEO/Secretary 563-259-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 074678) |
Enumeration Date | 2018-04-13 |
Last Update Date | 2018-04-13 |