Organization
INTEGRATED FUNCTIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW BENJAMIN DEWILD RN (OWNER)
(563) 484-0550
Entity
Organization
Contact information
Practice address
1020 LINCOLN RD, BETTENDORF, IA 52722-4141
(563) 484-0550
Mailing address
1020 LINCOLN RD, BETTENDORF, IA 52722-4141
(563) 484-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
—
163WG0000X
General Practice Registered Nurse
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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