Organization
TANGLED ROOTS WELLNESS GROVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY WAGGONER-JONES DC (OWNER)
(563) 359-8813
Entity
Organization
Contact information
Practice address
2407 18TH ST STE 101, BETTENDORF, IA 52722-3279
(563) 359-8813
Mailing address
2407 18TH ST STE 101, BETTENDORF, IA 52722-3279
(563) 359-8813
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007007
IA
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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