Organization Name: | WEST DES MOINES PHYSICAL THERAPY AND SPORTS REHABILITATION, PLLC |
NPI Number: | 1073875779 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN SHELLENBERGER (PRESIDENT) |
Mailing Address: | 3701 Ep True Pkwy Suite 300 West Des Moines |
State: | IA US |
Postal Code: | 502657696 |
Phone Number: | 5154808038 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2012 |
NPI Last Update Date: | 06/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4589 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |