# GOLD COAST CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235554916
- **Authorized official:** TONIA ROGERS (CHIROPRACTOR)
- **Authorized official phone:** (563) 340-9197

## Contact information

- **Practice address:** 604 WEST 5TH STREET, DAVENPORT, IA 52801
- **Practice address phone:** (563) 340-9197
- **Mailing address:** 604 WEST 5TH STREET, DAVENPORT, IA 52801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 007101 | IA | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014