Healthcare Provider Details

I. General information

NPI: 1811852551
Provider Name (Legal Business Name): ASPIRE INTEGRATED MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S GRAND AVE
MOUNT PLEASANT IA
52641-1843
US

IV. Provider business mailing address

520 S GRAND AVE
MOUNT PLEASANT IA
52641-1843
US

V. Phone/Fax

Practice location:
  • Phone: 319-385-1430
  • Fax:
Mailing address:
  • Phone: 319-385-1430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ZACKERY VANDENHOUT
Title or Position: OWNER
Credential: DC
Phone: 563-468-1819