Healthcare Provider Details

I. General information

NPI: 1558239657
Provider Name (Legal Business Name): ALEXA FJELSTUL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 DINA CT
HIAWATHA IA
52233-4706
US

IV. Provider business mailing address

1212 DINA CT
HIAWATHA IA
52233-4706
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number135666
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: