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Contact Information

RENEWED REBELLION WELLNESS COMPANY
531 COMMERCIAL ST.
#700
WATERLOO, IA50701
 Phone: 319-988-1413
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for RENEWED REBELLION WELLNESS COMPANY · (Female)

NPI Number 1104776558
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2026
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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