Healthcare Provider Details
I. General information
NPI: 1033976428
Provider Name (Legal Business Name): HARMONY CHIROPRACTIC & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2024
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1212 DINA CT
HIAWATHA IA
52233-4706
US
IV. Provider business mailing address
3198 COUNTRY PARK DR
TODDVILLE IA
52341-9728
US
V. Phone/Fax
- Phone: 319-560-3316
- Fax:
- Phone: 319-560-3316
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LUCY
LILLIE
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 319-560-3316