Provider Demographics
NPI:1679349823
Name:SPINES & GRINDS LLC
Entity Type:Organization
Organization Name:SPINES & GRINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-269-4471
Mailing Address - Street 1:203 E TOWER PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9641
Mailing Address - Country:US
Mailing Address - Phone:319-232-5202
Mailing Address - Fax:
Practice Address - Street 1:203 E TOWER PARK DR STE B
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9641
Practice Address - Country:US
Practice Address - Phone:319-232-5202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty