Healthcare Provider Details

I. General information

NPI: 1871241539
Provider Name (Legal Business Name): HEALTH FROM WITHIN BETTENDORF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2022
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4479 53RD AVE
BETTENDORF IA
52722-1300
US

IV. Provider business mailing address

11124 FRONT ST
MOKENA IL
60448-1525
US

V. Phone/Fax

Practice location:
  • Phone: 708-478-9850
  • Fax: 708-942-8334
Mailing address:
  • Phone: 708-478-9850
  • Fax: 708-942-8334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLY OCHSNER
Title or Position: OWNER AND PRESIDENT
Credential: DC
Phone: 563-723-0004