| |
25 W Hickman Rd Ste 200, Waukee, IA 50263-5021 | |
(515) 643-7050 | |
(515) 643-7051 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 25 W Hickman Rd Ste 200, Waukee, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780991588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (Iowa) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (Iowa) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 643-7050 | 25 W Hickman Rd Ste 200, Waukee, IA 50263-5021 Ph: (515) 643-7050 |