Provider Demographics
NPI:1689113714
Name:KAYLA KLANN, INC
Entity Type:Organization
Organization Name:KAYLA KLANN, INC
Other - Org Name:ELEVATE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUSKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-576-7444
Mailing Address - Street 1:1734 N ROOSEVELT AVE
Mailing Address - Street 2:STE 154
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-2052
Mailing Address - Country:US
Mailing Address - Phone:319-576-7444
Mailing Address - Fax:
Practice Address - Street 1:1734 N ROOSEVELT AVE
Practice Address - Street 2:STE 154
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-2052
Practice Address - Country:US
Practice Address - Phone:319-576-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty