Provider Demographics
NPI:1780482117
Name:POWELL CHIRO LLC
Entity type:Organization
Organization Name:POWELL CHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JOLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-214-0744
Mailing Address - Street 1:710 E KIMBERLY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-1624
Mailing Address - Country:US
Mailing Address - Phone:563-214-0744
Mailing Address - Fax:
Practice Address - Street 1:710 E KIMBERLY RD STE 1
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-1624
Practice Address - Country:US
Practice Address - Phone:563-214-0744
Practice Address - Fax:563-214-0742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty