Healthcare Provider Details

I. General information

NPI: 1144160318
Provider Name (Legal Business Name): JACIE CLAIRE KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 VIKING RD STE 121
CEDAR FALLS IA
50613-9537
US

IV. Provider business mailing address

924 VIKING RD STE 121
CEDAR FALLS IA
50613-9537
US

V. Phone/Fax

Practice location:
  • Phone: 319-260-2188
  • Fax: 319-260-2189
Mailing address:
  • Phone: 319-260-2188
  • Fax: 319-260-2189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number137982
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: