Healthcare Provider Details
I. General information
NPI: 1053220244
Provider Name (Legal Business Name): HONEYCOMB THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 JEFFERSON ST RM 209
WATERLOO IA
50701-1322
US
IV. Provider business mailing address
400 4TH AVE NW
INDEPENDENCE IA
50644-1752
US
V. Phone/Fax
- Phone: 319-332-9874
- Fax:
- Phone: 319-332-9874
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MS.
TARYN
COX
Title or Position: OWNER
Credential: MOT
Phone: 319-332-9874