Individual provider · Type 1 NPI
Randy Lynn Willoughby, DC
Chiropractor · Melcher, IA
NPI number
1407977929
Active
Practice location
115A South Main Street, Box 471
Melcher, IA 50163-0471
Fax (641) 947-2068
Mailing address
115A South Main St., Box 471
Melcher, IA 50163-0471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | AO5997 (IA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1407977929
Randy Lynn Willoughby, DC's National Provider Identifier is 1407977929, issued on Apr 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Melcher, IA. The record was last updated on Jul 9, 2007.