| NPI | 1831271048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A. CHICOINE Owner 712-252-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 04520) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05627) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-08-11 |