Healthcare Provider Details

I. General information

NPI: 1881849040
Provider Name (Legal Business Name): QUAD CITIES CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 PEBBLE HILLS DR
FERGUS FALLS MN
56537
US

IV. Provider business mailing address

3509 PEBBLE HILLS DR
FERGUS FALLS MN
56537
US

V. Phone/Fax

Practice location:
  • Phone: 563-449-2881
  • Fax:
Mailing address:
  • Phone: 563-449-2881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number06881
License Number StateIA

VIII. Authorized Official

Name: NATHALIE SVETLANA PAUL
Title or Position: OWNER/SELF
Credential: DC
Phone: 563-355-2881