Provider Demographics
NPI:1114489051
Name:ACCESS CHIROPRACTIC AND WELLNESS LLC
Entity Type:Organization
Organization Name:ACCESS CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:ACCESS CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-269-3904
Mailing Address - Street 1:5102 SE 26TH CT
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-2695
Mailing Address - Country:US
Mailing Address - Phone:712-269-3904
Mailing Address - Fax:
Practice Address - Street 1:1240 COPPER CREEK DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-7000
Practice Address - Country:US
Practice Address - Phone:515-266-6587
Practice Address - Fax:515-266-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-01
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty