Provider Demographics
NPI:1467967919
Name:PROGRESSIVE REHAB CHIROPRACTIC, L.L.C.
Entity Type:Organization
Organization Name:PROGRESSIVE REHAB CHIROPRACTIC, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-354-2429
Mailing Address - Street 1:2401 TOWNCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-354-2429
Mailing Address - Fax:319-354-6100
Practice Address - Street 1:100 ALEXANDER DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:TIPTON
Practice Address - State:IA
Practice Address - Zip Code:52772
Practice Address - Country:US
Practice Address - Phone:563-868-3636
Practice Address - Fax:563-886-3555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty