Function First Spine and Sport, Pllc

NPI #1407420664 in Humboldt, Iowa

Provider Information

NPI Number: 1407420664
Entity Type: Organization
Organization Name: Function First Spine and Sport, Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 13, 2021
Last Updated: May 13, 2021

Practice Location

Address: 604 SUMNER AVE
City: Humboldt
State: Iowa
ZIP Code: 50548-1761
Phone: (515) 570-7695

Authorized Official

Name: CYNTHIA S VANSICKLER, DC, CCSP
Title: OWNER
Phone: (515) 570-7695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Sports Physician — Sports Physician	111NS0005X
Chiropractor	111N00000X	Primary

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