Provider Demographics
NPI:1538580766
Name:RAPIDS CHIROPRACTIC PC
Entity type:Organization
Organization Name:RAPIDS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:MICHAEL WILLIAM
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-472-2841
Mailing Address - Street 1:206 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:ROCK RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:51246-1338
Mailing Address - Country:US
Mailing Address - Phone:712-472-2481
Mailing Address - Fax:712-472-2481
Practice Address - Street 1:206 S UNION ST
Practice Address - Street 2:
Practice Address - City:ROCK RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:51246-1338
Practice Address - Country:US
Practice Address - Phone:712-472-2481
Practice Address - Fax:712-472-2481
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAPIDS CHIROPRACTIC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty