Provider Demographics
NPI:1598910838
Name:YOUNTS, GARRY LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:GARRY
Middle Name:LOUIS
Last Name:YOUNTS
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 1:106 CRESTVIEW DR.
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:IA
Mailing Address - Zip Code:52358
Mailing Address - Country:US
Mailing Address - Phone:319-936-6288
Mailing Address - Fax:
Practice Address - Street 1:2254 FLINT HILL DR
Practice Address - Street 2:#1
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-8097
Practice Address - Country:US
Practice Address - Phone:563-588-9776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor