Provider Demographics
NPI:1922178946
Name:LABOUNTY, MICHAEL DAMIEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAMIEN
Last Name:LABOUNTY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1310 SW STATE ST
Mailing Address - Street 2:STE B
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2550
Mailing Address - Country:US
Mailing Address - Phone:515-965-8280
Mailing Address - Fax:515-965-5965
Practice Address - Street 1:1810 SW WHITE BIRCH CIR
Practice Address - Street 2:SUITE 110
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7226
Practice Address - Country:US
Practice Address - Phone:515-965-8280
Practice Address - Fax:515-965-5965
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor