DR. PENNY LEA TESHAK FULLARTON


Address: 4535 Bunker Hill Dr, Bettendorf, IA 52722-1760
Phone: 5633436797

DR. PENNY LEA TESHAK FULLARTON (NPI# 1396203402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396203402
Entity Type Individual
Full Name DR. PENNY LEA TESHAK FULLARTON
Credential DC
Practice Address 4535 Bunker Hill Dr
Bettendorf
IA 52722-1760
Practice Telephone 5633436797
Mailing Telephone 5633436797
Enumeration Date 2019-03-07
Last Update Date 2019-03-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 038.012793 IL Chiropractic Providers

Office Location

Street Address 4535 BUNKER HILL DR
City BETTENDORF
State IA
Zip Code 52722-1760

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770198855 Wellspire-bettendorf LLC Skilled Nursing Facility 4699 53rd Ave, Bettendorf, IA 52722 2020-09-15
1558873315 Erin M Kohrt Speech-Language Pathologist 2500 Grant Street, Bettendorf, IA 52722 2017-11-01
1437680295 Holli Christine Martin Chiropractor 3048 Victoria St., Bettendorf, IA 52722 2017-03-23
1598219552 Alyssa Renee Matz Counselor 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 2016-08-08
1144625021 Athletico Ltd Physical Therapist 3252 Ridge Point, Bettendorf, IA 52722 2014-11-04
1609282862 Katherine L Browne Nurse Practitioner 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 2014-07-09
1316357494 Kayla Leigh Ehrman Family Medicine 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 2014-04-29
1043648454 Duane Anthony Halbur Jr. Counselor 2420 Salem Ct, Bettendorf, IA 52722 2013-10-22
1376881185 Christopher D Murphy Physical Therapist 2300 53rd Ave Ll02, Bettendorf, IA 52722 2013-01-29
1326386574 Kelly C Harry Occupational Therapist 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 2013-01-23
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841719283 Allison Paige Fair Chiropractor 3359 Middle Rd Ste 1, Bettendorf, IA 52722-3402 2017-09-18
1437680295 Holli Christine Martin Chiropractor 3048 Victoria St., Bettendorf, IA 52722 2017-03-23
1043768310 Uncommon Chiropractic Chiropractor 2415 18th St Ste 107, Bettendorf, IA 52722-3281 2016-09-15
1730566720 Abundant Health Chiropractic Plc Chiropractor 878 Middle Rd, Bettendorf, IA 52722-4101 2015-04-29
1750785564 Joseph Woelfel Chiropractor 1900 State St Ste 2, Bettendorf, IA 52722-4968 2014-10-22
1154736973 Luanne Wells Chiropractor 4915 Bobwhite Ct, Bettendorf, IA 52722-6278 2014-07-01
1558792861 Hagen Clinic Pllc Chiropractor 2395 Tech Drive, Suite 3, Bettendorf, IA 52722-3277 2013-12-12
1285061499 Howell Chiropractic Center LLC Chiropractor 2440 Tech Dr, Suite 3, Bettendorf, IA 52722-7004 2013-10-02
1144574302 Julie Meyers Dc Chiropractor 3456 Holiday Ct, Bettendorf, IA 52722-3551 2012-11-08
1598011892 Robin Lee Anderson Chiropractor 2315 Cumberland Sq. Dr., Bettendorf, IA 52722 2012-07-24
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Competitor

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City BETTENDORF
Zip Code 52722

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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