Provider Demographics
NPI:1396987269
Name:PRAHL HEALTH&HEALING SERVICES, LLC
Entity type:Organization
Organization Name:PRAHL HEALTH&HEALING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRAHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC,CCN,DACB
Authorized Official - Phone:319-558-6023
Mailing Address - Street 1:1031 BLACKHAWK ST
Mailing Address - Street 2:
Mailing Address - City:REINBECK
Mailing Address - State:IA
Mailing Address - Zip Code:50669-1409
Mailing Address - Country:US
Mailing Address - Phone:319-558-6023
Mailing Address - Fax:319-266-7788
Practice Address - Street 1:226 BRANDILYNN BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-7410
Practice Address - Country:US
Practice Address - Phone:319-266-7788
Practice Address - Fax:319-266-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA05094111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty