Individual
HAILEY BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 5TH ST, CORALVILLE, IA 52241-2337
(319) 379-5801
Mailing address
208 VILLAGE DR APT 4, TIFFIN, IA 52340-9237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
127096
IA
Other
Enumeration date
07/27/2024
Last updated
07/30/2024
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