Provider Demographics
NPI:1639619133
Name:RITZ CHIROPRACTIC GROUP PLLC
Entity Type:Organization
Organization Name:RITZ CHIROPRACTIC GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:RITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-546-4004
Mailing Address - Street 1:220 PLYMOUTH ST SW
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3441
Mailing Address - Country:US
Mailing Address - Phone:712-546-4004
Mailing Address - Fax:712-546-4007
Practice Address - Street 1:220 PLYMOUTH ST SW
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3441
Practice Address - Country:US
Practice Address - Phone:712-546-4004
Practice Address - Fax:712-546-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty