Healthcare Provider Details

I. General information

NPI: 1770853988
Provider Name (Legal Business Name): HUFF CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 06/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 E MONTGOMERY ST
KNOXVILLE IA
50138
US

IV. Provider business mailing address

204 E MONTGOMERY ST
KNOXVILLE IA
50138
US

V. Phone/Fax

Practice location:
  • Phone: 641-842-2239
  • Fax: 641-842-2242
Mailing address:
  • Phone: 641-842-2239
  • Fax: 641-842-2242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number007183
License Number StateIA

VIII. Authorized Official

Name: LEEANN JOYE HUFF
Title or Position: OWNER/PROVIDER
Credential: DC
Phone: 641-842-2239