Provider Demographics
NPI:1982975835
Name:KNOBBE, JENNIFER ANN (DC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:KNOBBE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 N ANKENY BLVD
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-4709
Mailing Address - Country:US
Mailing Address - Phone:515-964-5404
Mailing Address - Fax:515-964-1606
Practice Address - Street 1:3405 N ANKENY BLVD
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4709
Practice Address - Country:US
Practice Address - Phone:515-964-5404
Practice Address - Fax:515-964-1606
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor