Organization Name: | MIDWEST PHYSICAL THERAPY, PC |
NPI Number: | 1104805977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES BURKE HOLTE (OWNER PT PRESIDENT) |
Mailing Address: | 2431 Coral Ct Suite 2 Coralville |
State: | IA US |
Postal Code: | 522412838 |
Phone Number: | 3195454104 |
Fax Number: | 3195454105 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |