Healthcare Provider Details

I. General information

NPI: 1528990355
Provider Name (Legal Business Name): OPTION 1 CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 FLAMMANG DR
WATERLOO IA
50702-4306
US

IV. Provider business mailing address

1114 FLAMMANG DR
WATERLOO IA
50702-4306
US

V. Phone/Fax

Practice location:
  • Phone: 319-340-6000
  • Fax:
Mailing address:
  • Phone: 319-340-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LACEY SOYER
Title or Position: CHIROPRACTOR/ OWNER
Credential: D.C.
Phone: 319-340-6000