Healthcare Provider Details

I. General information

NPI: 1538099395
Provider Name (Legal Business Name): ANDERSON CHIROPRACTIC & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E MAIN ST
LAKE MILLS IA
50450-1420
US

IV. Provider business mailing address

706 E MAIN ST
LAKE MILLS IA
50450-1420
US

V. Phone/Fax

Practice location:
  • Phone: 641-592-2500
  • Fax:
Mailing address:
  • Phone: 641-592-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ANDREW ROBERT ANDERSON
Title or Position: OWNER
Credential: DC
Phone: 641-592-2500