Healthcare Provider Details

I. General information

NPI: 1457209173
Provider Name (Legal Business Name): EMILY NORRIS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 18TH ST
DES MOINES IA
50314-1101
US

IV. Provider business mailing address

1248 HIGH PLAINE DR
CRYSTAL LAKE IL
60014-1611
US

V. Phone/Fax

Practice location:
  • Phone: 515-612-7701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number130281
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: