NPI 1114295284

Healthsource of Cedar Rapids SW, LLC

Organisation Chiropractor Cedar Rapids, IA

Practice location

Address: 3726 Queen CT SW Suite 103, Cedar Rapids, IA 52404-3903
Phone: (319) 373-7576

Authorised official

Name: Rory Paul Moravetz
Title: President
Phone: (319) 390-2037

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 06595 (IA)

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Registry record

NPI: 1114295284
Entity type: Organization
NPI issued: 5 Dec 2011
Record last updated: 9 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.