Healthcare Provider Details

I. General information

NPI: 1225587405
Provider Name (Legal Business Name): INFINITE FAMILY CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 05/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7986 S ORILLA RD
CUMMING IA
50061-5807
US

IV. Provider business mailing address

7986 S ORILLA RD
CUMMING IA
50061-5807
US

V. Phone/Fax

Practice location:
  • Phone: 515-528-2287
  • Fax: 515-608-4397
Mailing address:
  • Phone: 515-528-2287
  • Fax: 515-608-4397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number080507
License Number StateIA

VIII. Authorized Official

Name: DR. JENNIFER LYNN KATZER
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 515-528-2287