Provider Demographics
NPI:1871241539
Name:HEALTH FROM WITHIN BETTENDORF LLC
Entity Type:Organization
Organization Name:HEALTH FROM WITHIN BETTENDORF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLY
Authorized Official - Middle Name:
Authorized Official - Last Name:OCHSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-723-0004
Mailing Address - Street 1:11124 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-1525
Mailing Address - Country:US
Mailing Address - Phone:708-478-9850
Mailing Address - Fax:708-942-8334
Practice Address - Street 1:4479 53RD AVE
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1300
Practice Address - Country:US
Practice Address - Phone:708-478-9850
Practice Address - Fax:708-942-8334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty