Provider Demographics
NPI:1295144293
Name:ABSOLUTE HEALTH CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:ABSOLUTE HEALTH CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-443-6636
Mailing Address - Street 1:2701 SE CONVENIENCE BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-9432
Mailing Address - Country:US
Mailing Address - Phone:515-443-6636
Mailing Address - Fax:515-635-0009
Practice Address - Street 1:2701 SE CONVENIENCE BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-9432
Practice Address - Country:US
Practice Address - Phone:515-443-6636
Practice Address - Fax:515-635-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty