Healthcare Provider Details

I. General information

NPI: 1396667606
Provider Name (Legal Business Name): CLAUDE BALLESTER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 ASHWORTH RD STE 210
WEST DES MOINES IA
50266-5954
US

IV. Provider business mailing address

7545 ASHWORTH RD STE 210
WEST DES MOINES IA
50266-5954
US

V. Phone/Fax

Practice location:
  • Phone: 515-854-3618
  • Fax: 515-644-8225
Mailing address:
  • Phone: 515-854-3618
  • Fax: 515-644-8225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: