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Taylor Mitacek, DPT

NPI 1497253223 · on the registry since 2018

Practice

Address
241 Se Destination Dr
Grimes, IA 50111
Phone
(515) 986-5190
Fax
(515) 986-5194
Organisation at this address
Revive Chiropractic Inc.
Eastern Iowa Therapeutics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 30 S Northwest Hwy, Palatine, IL

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa