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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