NPI | 1902135494 |
---|---|
Former Legal Business Name | CHIRO SPORTS |
Entity Type | Organization |
Authorized Contact | TERRI LYN COOPER Owner/President 319-360-4121 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A5590) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2025-09-16 |