Provider Demographics
NPI:1699152389
Name:VIERKANDT, PAIGE ANNE (DC)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:ANNE
Last Name:VIERKANDT
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 1:1701 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-1839
Mailing Address - Country:US
Mailing Address - Phone:641-648-4488
Mailing Address - Fax:641-648-3377
Practice Address - Street 1:1701 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-1839
Practice Address - Country:US
Practice Address - Phone:641-648-4488
Practice Address - Fax:641-648-3377
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor