# JERSEY RIDGE CHIRO & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JERSEY RIDGE CHIRO & REHAB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780892992
- **Authorized official:** DR. JEFFREY CASTRO (CHIROPRACTOR)
- **Authorized official phone:** (563) 884-8093

## Contact information

- **Practice address:** 2322 E KIMBERLY RD \# 140, DAVENPORT, IA 52807-7205
- **Practice address phone:** (563) 884-8093
- **Mailing address:** 2808 HARMONY DR, BETTENDORF, IA 52722-3108
- **Mailing address phone:** (563) 359-7287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 06275 | IA | Yes |

## Other

- **Enumeration date:** 05/19/2007
- **Last updated:** 07/10/2007