Organization
LIVEWELL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY J WATKINS DC (OWNER)
(515) 987-6332
Entity
Organization
Contact information
Practice address
2555 BERKSHIRE PKWY, SUITE F, CLIVE, IA 50325-4646
(515) 987-6332
Mailing address
2555 BERKSHIRE PKWY, SUITE F, CLIVE, IA 50325-4646
(515) 987-6332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06816
IA
Other
Enumeration date
04/21/2011
Last updated
05/18/2011
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