Provider Demographics
NPI:1932275252
Name:CROWSON, HOLLY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:MARIE
Last Name:CROWSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:MARIE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3000 SE GRIMES BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111
Mailing Address - Country:US
Mailing Address - Phone:515-986-9091
Mailing Address - Fax:515-986-9092
Practice Address - Street 1:3000 SE GRIMES BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111
Practice Address - Country:US
Practice Address - Phone:515-986-9091
Practice Address - Fax:515-986-9092
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor