Healthcare Provider Details

I. General information

NPI: 1801717848
Provider Name (Legal Business Name): WAHLS CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W MAIN ST
NEW LONDON IA
52645-1335
US

IV. Provider business mailing address

103 W MAIN ST
NEW LONDON IA
52645-1335
US

V. Phone/Fax

Practice location:
  • Phone: 563-880-3064
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAYDIN WAHLS
Title or Position: OWNER
Credential: D.C.
Phone: 563-880-3064