| Organization Name: | JASON E. MEYER PHYSICAL THERAPY DOING BUSSINESS AS DUBUQUE PHYSICAL TH |
| NPI Number: | 1043610637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUVY SHOOPMAN (BILLING) |
| Mailing Address: | 4005 Westmark Dr Suite 320 Dubuque |
| State: | IA US |
| Postal Code: | 520022271 |
| Phone Number: | 5635883891 |
| Fax Number: | 5635883893 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12851-24 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |