IndividualActive
John Stader, D.C.
NPI 1679592133 · Sports Physician Chiropractor · Bettendorf, IA
Provider details
- NPI number
- 1679592133
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 06575 (IA)
Practice location
2400 18th St
Suite 101
Bettendorf, IA 52722-3280
Phone: (563) 355-2020
Mailing address
3731 Eldorado Dr
Bettendorf, IA 52722-2601
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.