Robbie Gattman, DC
Individual provider Active NPI Chiropractor · Vinton, IA
NPI 1679330997 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1679330997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 124412 (IA)
- Practice address
- 204 E 6TH St
Vinton, IA 52349-1812 - Phone
- (319) 214-1391
- NPI assigned
- Mar 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124412 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wicks Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
204 E 6th St
Vinton, IA 52349
Phone (319) 214-1391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 124412 | IA | Yes |
Addresses
Primary practice location
204 E 6TH St
Vinton, IA 52349-1812
Mailing address
204 E 6TH St
Vinton, IA 52349-1812
Other providers in Vinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.