Healthcare Provider Details

I. General information

NPI: 1396987269
Provider Name (Legal Business Name): PRAHL HEALTH&HEALING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 03/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 BRANDILYNN BLVD SUITE D
CEDAR FALLS IA
50613-7410
US

IV. Provider business mailing address

1031 BLACKHAWK ST
REINBECK IA
50669-1409
US

V. Phone/Fax

Practice location:
  • Phone: 319-266-7788
  • Fax: 319-266-8088
Mailing address:
  • Phone: 319-558-6023
  • Fax: 319-266-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number05094
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number05094
License Number StateIA

VIII. Authorized Official

Name: VALORIE J. PRAHL
Title or Position: CEO, REGISTERED AGENT
Credential: D.C.,C.C.N.,D.A.C.B.
Phone: 319-558-6023