Provider Demographics
NPI:1497518625
Name:KNOUS, JONAH THOMAS (DC)
Entity Type:Individual
Prefix:
First Name:JONAH
Middle Name:THOMAS
Last Name:KNOUS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 NW 9TH ST STE 101
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 STE 101
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:515-461-3505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA122662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor