Doctor Name: | DR. NANCY KAHLE NETOLICKY |
NPI Number: | 1033202312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | AO5973 |
Business Practice Address: | 3200 16th Ave Sw Suite I Cedar Rapids, IA - 524041469 |
Business Phone Number: | 3192474782 |
Business Fax Number: | 3192474784 |
Mailing Address: | 3200 16th Ave Sw, Suite I CEDAR RAPIDS |
State: | IA |
Postal Code: | 524041469 |
Phone Number: | 3192474782 |
Fax Number: | 3192474784 |
NPI Enumeration Date: | 10/01/2006 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | AO5973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |