# MT PLEASANT CHIROPRACTIC CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871865626
- **Authorized official:** DR. MATTHEW DAVID DONNOLLY D.C. (CHIROPRACTOR)
- **Authorized official phone:** (319) 217-0095

## Contact information

- **Practice address:** 204 N JEFFERSON ST, MT PLEASANT, IA 52641-2017
- **Practice address phone:** (319) 217-0095
- **Mailing address:** 204 N JEFFERSON ST, MT PLEASANT, IA 52641-2017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 007418 | IA | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012