Healthcare Provider Details

I. General information

NPI: 1104750025
Provider Name (Legal Business Name): FOUNDATIONAL CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 N CLARK ST
FOREST CITY IA
50436-1643
US

IV. Provider business mailing address

146 N CLARK ST
FOREST CITY IA
50436-1643
US

V. Phone/Fax

Practice location:
  • Phone: 641-585-4325
  • Fax:
Mailing address:
  • Phone: 641-585-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOELI EMMA KOENIG
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 515-351-8651