Individual provider · Type 1 NPI
Ethan John Kleckner, DC
Chiropractor · Grimes, IA
NPI number
1710072848
Active
Practice location
250 SW 1st Street, Ste C
Grimes, IA 50111-2138
Fax (515) 986-0041
Mailing address
250 W 1st St, Ste C
Grimes, IA 50111-2138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 06264 (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 1710072848
Ethan John Kleckner, DC's National Provider Identifier is 1710072848, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grimes, IA. The record was last updated on Oct 13, 2010.