Provider Demographics
NPI:1407144108
Name:TEAM CHIROPRACTIC AND REHABILITATION INC.
Entity Type:Organization
Organization Name:TEAM CHIROPRACTIC AND REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINKELDEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-276-8326
Mailing Address - Street 1:5619 NW 86TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1819
Mailing Address - Country:US
Mailing Address - Phone:515-276-8326
Mailing Address - Fax:
Practice Address - Street 1:5619 NW 86TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1819
Practice Address - Country:US
Practice Address - Phone:515-276-8326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-14
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty