Provider Demographics
NPI:1023443066
Name:EVANS, RHYS (DC)
Entity type:Individual
Prefix:DR
First Name:RHYS
Middle Name:
Last Name:EVANS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W MISSION ST
Mailing Address - Street 2:P.O. BOX 467
Mailing Address - City:STRAWBERRY POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52076-4400
Mailing Address - Country:US
Mailing Address - Phone:563-933-2004
Mailing Address - Fax:563-933-2004
Practice Address - Street 1:122 W MISSION ST
Practice Address - Street 2:
Practice Address - City:STRAWBERRY POINT
Practice Address - State:IA
Practice Address - Zip Code:52076-4400
Practice Address - Country:US
Practice Address - Phone:563-933-2004
Practice Address - Fax:563-933-2004
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor