Provider Demographics
NPI:1659901577
Name:WHITSELL, EMILY (DC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WHITSELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:GAUDET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:4610 UTICA RIDGE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3424
Mailing Address - Country:US
Mailing Address - Phone:563-289-7575
Mailing Address - Fax:319-408-0397
Practice Address - Street 1:4610 UTICA RIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3424
Practice Address - Country:US
Practice Address - Phone:563-289-7576
Practice Address - Fax:319-408-0397
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-20
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA-099319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty