| NPI | 1912263690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WOODWARD Owner 515-287-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 6962) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |