Individual
RYAN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
900 42ND ST, DES MOINES, IA 50312-2616
(515) 421-4018
Mailing address
601 E LOCUST ST STE 102, DES MOINES, IA 50309-1941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
105981
IA
Other
Enumeration date
11/02/2020
Last updated
11/28/2020
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