Provider Demographics
NPI:1427004365
Name:MAASSEN, RHONDA JOY (DC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JOY
Last Name:MAASSEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:RHONDA
Other - Middle Name:JOY
Other - Last Name:LOWENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:616 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:DONNELLSON
Mailing Address - State:IA
Mailing Address - Zip Code:52625-9453
Mailing Address - Country:US
Mailing Address - Phone:319-835-9011
Mailing Address - Fax:319-835-9012
Practice Address - Street 1:616 MADISON AVE
Practice Address - Street 2:
Practice Address - City:DONNELLSON
Practice Address - State:IA
Practice Address - Zip Code:52625-9453
Practice Address - Country:US
Practice Address - Phone:319-835-9011
Practice Address - Fax:319-835-9012
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIB1321001OtherPTAN