NPI | 1871039123 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE ALYSSA ECKHARDT LEE Chiropractor/Business Owner 563-888-5130 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06807) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA a06205) |
225700000X Massage Therapist (Licence: IA 006735) | |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-01-12 |