Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 080507 | IA |
NPI | 1003273764 |
---|---|
Provider Name | Dr. Jennifer Lynn Katzer |
First Address | Cumming, IA 50061-5807 |
Second Address | Cumming, IA 50061-5807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2016 |
Last Update Date | 24/01/2017 |