Provider Demographics
NPI:1124671169
Name:THE WELLNESS CHAMBERS, PLLC
Entity type:Organization
Organization Name:THE WELLNESS CHAMBERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:515-710-6885
Mailing Address - Street 1:1006 SW 4TH CT
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2400
Mailing Address - Country:US
Mailing Address - Phone:515-710-6885
Mailing Address - Fax:
Practice Address - Street 1:1006 SW 4TH CT
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-2400
Practice Address - Country:US
Practice Address - Phone:515-710-6885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy