| Thiele Chiropractic & Wellness, Llc | |
|
5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 | |
| (515) 777-9771 | |
| Not Available |
| Full Name | Thiele Chiropractic & Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5010 Mills Civic Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Cory Michael Thiele (CHIROPRACTOR) |
| Authorized Official Contact | 3606017610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thiele Chiropractic & Wellness, Llc 5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 Ph: (515) 777-9771 | Thiele Chiropractic & Wellness, Llc 5010 Mills Civic Pkwy Ste. 102 West Des Moines IA 50265-5267 Ph: (515) 777-9771 |
| NPI Number | 1255755880 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 9739310871 |
|---|---|
| Medicare Enrollment ID | O20140402001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255755880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 072217 (Iowa) | Primary |
| Provider Name | Cory Michael Thiele |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811062441 PECOS PAC ID: 7416001953 Enrollment ID: I20140402001854 |
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