Provider Demographics
NPI:1851536742
Name:MONTHEI, ANGELA LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:LEE
Last Name:MONTHEI
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:PO BOX 65145
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-0145
Mailing Address - Country:US
Mailing Address - Phone:515-440-3066
Mailing Address - Fax:515-440-3069
Practice Address - Street 1:421 5TH ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-4635
Practice Address - Country:US
Practice Address - Phone:515-440-3066
Practice Address - Fax:515-440-3069
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011471-1111N00000X
IA007153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor