Healthcare Provider Details

I. General information

NPI: 1710895743
Provider Name (Legal Business Name): WELLSPRING CHIROPRACTIC CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2709 W BRIGGS AVE STE 4
FAIRFIELD IA
52556-2649
US

IV. Provider business mailing address

2709 W BRIGGS AVE STE 4
FAIRFIELD IA
52556-2649
US

V. Phone/Fax

Practice location:
  • Phone: 641-469-3138
  • Fax:
Mailing address:
  • Phone: 641-469-3138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MAXWELL ANDERSON
Title or Position: OWNER, DOCTOR
Credential: DC
Phone: 319-217-3044