Healthcare Provider Details

I. General information

NPI: 1144209875
Provider Name (Legal Business Name): KURT VER HELST D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 MORTENSEN RD STE 104
AMES IA
50014-5534
US

IV. Provider business mailing address

4720 MORTENSEN RD STE 104
AMES IA
50014-5534
US

V. Phone/Fax

Practice location:
  • Phone: 515-233-1866
  • Fax: 515-233-9513
Mailing address:
  • Phone: 515-233-1866
  • Fax: 515-233-9513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number421425352
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: