Provider Demographics
NPI:1689896532
Name:SALOW, TODD LYNN (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:LYNN
Last Name:SALOW
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 1:112 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353
Mailing Address - Country:US
Mailing Address - Phone:319-653-6000
Mailing Address - Fax:319-653-6115
Practice Address - Street 1:112 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353
Practice Address - Country:US
Practice Address - Phone:319-653-6000
Practice Address - Fax:319-653-6115
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05625111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA10251OtherWELLMARK
IA10251OtherWELLMARK
IAI14944Medicare ID - Type Unspecified