Organization
BETTY'S WIG BOUTIQUE
Active
Organization
BETTY'S WIG BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M GOODWORTH (OWNER/OPERATOR)
(563) 323-6231
Entity
Organization
Contact information
Practice address
1120 JERSEY RIDGE RD, DAVENPORT, IA 52803-3730
(563) 323-6231
Mailing address
1120 JERSEY RIDGE RD, DAVENPORT, IA 52803-3730
(563) 650-6231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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