# IDEAL HEALTH AND WELLNESS, SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ideal Health and Wellness, SC, Corp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689013393
- **Authorized official:** DR. KATHRYN FREGA D.C., N.D. (OWNER/DOCTOR)
- **Authorized official phone:** (563) 359-4106

## Contact information

- **Practice address:** 1850 E 53RD ST STE 2, DAVENPORT, IA 52807-2784
- **Practice address phone:** (563) 359-4106
- **Practice address fax:** (563) 359-4130
- **Mailing address:** 1850 E 53RD ST STE 2, DAVENPORT, IA 52807-2784
- **Mailing address phone:** (563) 359-4106
- **Mailing address fax:** (563) 359-4130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 083863 | IA | — |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NI0900X | Internist Chiropractor | 038012020 | IL | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 07/21/2022