Individual
DR. TADD LEE KNOBLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C,
Contact information
Practice address
110 S 1ST AVE E, HARTLEY, IA 51346-1435
(712) 728-2364
(712) 728-3409
Mailing address
110 S 1ST AVE E, HARTLEY, IA 51346-1435
(712) 728-2364
(712) 728-3409
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
A06014
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1151852
—
IA
Enumeration date
10/13/2006
Last updated
07/08/2007
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