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Organization
BACK IN MOTION CHIROPRACTIC LLC
Active
Organization
BACK IN MOTION CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY JAY SMITH D.C. (OWNER)
(319) 233-6673
Entity
Organization
Contact information
Practice address
2835 UNIVERSITY AVE, WATERLOO, IA 50701-3335
(319) 233-6673
Mailing address
4132 HARBIN DR, WATERLOO, IA 50701-9745
(319) 233-6673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05449
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070748
—
IA
Enumeration date
03/18/2016
Last updated
03/18/2016
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