Individual provider · Type 1 NPI

Kyle Matthew Ellensohn, DC

Chiropractor · Johnston, IA

NPI number 1548543754 Active

Practice location

6110 NW 86th St, Suite 102
Johnston, IA 50131-2257

Fax (515) 276-6535

Mailing address

208 S Main St, Suite 102
Osceola, IA 50213-1416

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X007424 (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.

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About NPI 1548543754

Kyle Matthew Ellensohn, DC's National Provider Identifier is 1548543754, issued on Sep 23, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Johnston, IA. The record was last updated on Dec 14, 2016.