NPI 1386311538

Jay Andrew Heaverlo, DACM

Practitioner Acupuncturist Urbandale, IA

Practice location

Address: 2687 100th St, Urbandale, IA 50322-3808
Phone: (515) 554-6728

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence A49 (IA)

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Registry record

NPI: 1386311538
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2021
Record last updated: 25 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.