Organization
PERCUOCO CHIROPRACTIC AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS PERCUOCO DC (OWNER/OPERATOR)
(515) 620-3550
Entity
Organization
Contact information
Practice address
3200 INGERSOLL AVE STE E, DES MOINES, IA 50312-3917
(515) 620-3550
(515) 259-6383
Mailing address
8601 WESTOWN PKWY UNIT 5106, WEST DES MOINES, IA 50266-1653
(563) 370-0776
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821585357
—
CA
Enumeration date
03/26/2020
Last updated
03/26/2020
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