NPIMap

Organization Active NPI

Expressions of Life Chiropractic Studio

  • Chiropractor
  • Rock Island, IL
National Provider Identifier
1235376294
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011292 Issued in IL
Legal business name
EXPRESSIONS OF LIFE CHIROPRACTIC STUDIO
Practice address
1614 2ND Ave
Rock Island, IL 61201-8603
Phone
(309) 786-1700
Fax
(309) 786-1700
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Katrina Ruth Boswell, D.C
Title
Chiropractor
Phone
(563) 340-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011292 IL Primary

Addresses

Primary practice location

1614 2ND Ave
Rock Island, IL 61201-8603

Mailing address

418 E Lombard St
Davenport, IA 52803-3044
Phone (309) 786-1700

National Provider Directory

National Provider Directory

Locations

1614 2nd Ave
Rock Island, IL 61201
Phone (309) 786-1700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1235376294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E LOMBARD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033044",
            "telephone_number": "309-786-1700",
            "fax_number": "309-786-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 2ND AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018603",
            "telephone_number": "309-786-1700",
            "fax_number": "309-786-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS OF LIFE CHIROPRACTIC STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-340-1504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.