Hartley Chiropractic Clinic Inc in Hartley - Sports Physician

Hartley Chiropractic Clinic Inc - NPI 1427117902

Hartley Chiropractic Clinic Inc is a Sports Physician in Hartley, Iowa. Hartley Chiropractic Clinic Inc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Hartley Chiropractic Clinic Inc is 1427117902. The last update date is 2020-08-22.

Hartley Chiropractic Clinic Inc's current location address is 110 S 1st Ave E, Hartley, Iowa. You can contact this provider via phone number 7122782364 and fax number 7127283409. The mailing address for Hartley Chiropractic Clinic Inc is 110 S 1st Ave E, Hartley, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hartley Chiropractic Clinic Inc
Address 110 S 1st Ave E, Hartley, Iowa
Phone Number 7122782364
Fax Number 7127283409
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Knobloch Lee Tadd
Credentials DC
Telephone Number 7127282364

NPI Number Detail

NPI Number 1427117902
Provider Enumeration Date 2006-12-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 110 S 1st Ave E
City Hartley
State Iowa (IA)
Post Code 513461435
Phone Number 7122782364
Fax Number 7127283409

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No A06014
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1151852 IA --

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FAQs about Hartley Chiropractic Clinic Inc

What is the unique provider identifier assigned to Hartley Chiropractic Clinic Inc?

The Hartley Chiropractic Clinic Inc has been issued the NPI (National Provider Identifier) 1427117902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Hartley Chiropractic Clinic Inc is geographically located?

The Hartley Chiropractic Clinic Inc is physically situated at the following location: 110 S 1St Ave E, Hartley, IA, 513461435.

What is the Hartley Chiropractic Clinic Inc's specialty and taxonomy code?

The Hartley Chiropractic Clinic Inc's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1427117902 to Hartley Chiropractic Clinic Inc?

The Centers for Medicare & Medicaid Services originally issued the 1427117902 to Hartley Chiropractic Clinic Inc on 2006-12-08.

As of what date were the Hartley Chiropractic Clinic Inc's details last updated?

The information pertaining to the Hartley Chiropractic Clinic Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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