Betty'S Wig Boutique
Organization Active NPI Durable Medical Equipment & Medical Supplies · Davenport, IA
NPI 1013868652 · NPPES record last updated Feb 9, 2026
Key facts
- NPI
- 1013868652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BETTY'S WIG BOUTIQUE
- Practice address
- 1120 Jersey Ridge Rd
Davenport, IA 52803-3730 - Phone
- (563) 323-6231
- NPI assigned
- Feb 9, 2026
- Organization subpart
- No
Authorized official
- Name
- Kathleen M Goodworth
- Title
- Owner/Operator
- Phone
- (563) 323-6231
Practitioners 1
National Provider Directory
Locations
1120 Jersey Ridge Rd
Davenport, IA 52803
Phone (563) 323-6231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1120 Jersey Ridge Rd
Davenport, IA 52803-3730
Mailing address
1120 Jersey Ridge Rd
Davenport, IA 52803-3730
Phone (563) 650-6231
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All providers in Davenport, IA · Durable Medical Equipment & Medical Supplies in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.