Healthcare Provider Details

I. General information

NPI: 1144141532
Provider Name (Legal Business Name): WYATT SETTERBURG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

613 1ST ST
REDFIELD IA
50233-7809
US

IV. Provider business mailing address

1149 190TH ST
JEFFERSON IA
50129-7024
US

V. Phone/Fax

Practice location:
  • Phone: 515-344-4144
  • Fax:
Mailing address:
  • Phone: 515-344-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: