Provider Demographics
NPI:1497510226
Name:ELEVATION CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ELEVATION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONAH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:KNOUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-371-3925
Mailing Address - Street 1:114 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-1759
Mailing Address - Country:US
Mailing Address - Phone:515-371-3925
Mailing Address - Fax:
Practice Address - Street 1:114 NW 9TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-1759
Practice Address - Country:US
Practice Address - Phone:515-371-3925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty