Healthcare Provider Details

I. General information

NPI: 1255818878
Provider Name (Legal Business Name): MELISSA WESSELS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 05/11/2024
Certification Date: 05/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 DINA CT
HIAWATHA IA
52233-4706
US

IV. Provider business mailing address

105 E BUTLER ST
MANCHESTER IA
52057-1606
US

V. Phone/Fax

Practice location:
  • Phone: 319-892-3363
  • Fax: 319-892-3034
Mailing address:
  • Phone: 563-927-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number092106
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: