Provider Demographics
NPI:1407287436
Name:SEVENTURE LIVING CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:SEVENTURE LIVING CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YUNUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-676-3535
Mailing Address - Street 1:516 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-5821
Mailing Address - Country:US
Mailing Address - Phone:563-388-6364
Mailing Address - Fax:
Practice Address - Street 1:516 W 35TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-5821
Practice Address - Country:US
Practice Address - Phone:563-388-6364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty