| Chiropractic Hut | |
|
114 1/2 E Monroe St Pleasantville IA 50225-7744 | |
| (515) 848-3334 | |
| (515) 848-3335 |
| Full Name | Chiropractic Hut |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 1/2 E Monroe St, Pleasantville, Iowa |
| Authorized Official Name and Position | Theodore Richard Liautaud (OWNER) |
| Authorized Official Contact | 5158483334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Hut 114 1/2 E Monroe St P.o. Box 491 Pleasantville IA 50225-7744 Ph: (515) 848-3334 | Chiropractic Hut 114 1/2 E Monroe St Pleasantville IA 50225-7744 Ph: (515) 848-3334 |
| NPI Number | 1891176285 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Medicare PECOS PAC ID | 1951612084 |
|---|---|
| Medicare Enrollment ID | O20150616002337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891176285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 072768 (Iowa) | Primary |
| Provider Name | Theodore R Liautaud |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568734325 PECOS PAC ID: 5395056295 Enrollment ID: I20150618002218 |
Knoxville Hospital & Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Washington St, Pleasantville, IA 50225 Phone: 515-848-3113 Fax: 515-848-5257 |