Healthcare Provider Details

I. General information

NPI: 1851632962
Provider Name (Legal Business Name): HALLING WELLNESS CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 04/08/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 106TH ST
URBANDALE IA
50322-3766
US

IV. Provider business mailing address

2535 106TH ST
URBANDALE IA
50322-3766
US

V. Phone/Fax

Practice location:
  • Phone: 515-334-0505
  • Fax: 515-334-0510
Mailing address:
  • Phone: 515-334-0505
  • Fax: 515-334-0510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. MANDY JANEL HALLING ROUSH
Title or Position: PRESIDENT/PHYSICIAN
Credential: D.C.
Phone: 515-334-0505