| Organization Name: | ONEOTA PHYSICAL THERAPY INC. |
| NPI Number: | 1215106661 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY DUANE FECHNER (OWNER/DOCTOR OF PHYSICAL THERAPY) |
| Mailing Address: | 308 College Dr Ste 4 Decorah |
| State: | IA US |
| Postal Code: | 521011342 |
| Phone Number: | 5633821289 |
| Fax Number: | 5633824824 |
| NPI Enumeration Date: | 02/29/2008 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 03817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |